| NPI | 1801362116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN THACKER Director Of Admissions 801-850-8384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2019-07-30 |