| NPI | 1831505874 |
|---|---|
| Doing Business As | SHADOW MOUNTAIN DETOX HOSPITAL, ST. GEORGE |
| Entity Type | Organization |
| Authorized Contact | JACKIE HOLUB Vice President 925-389-8591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2017-04-26 |