| NPI | 1801162995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY TILLETT Director Of Business Ops 801-428-3487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: UT 11881) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: UT 11881) |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: UT 11881) | |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2016-04-05 |