| NPI | 1831482835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK DIXON Owner 801-495-2009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 17883) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2015-08-12 |