| NPI | 1841610383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRESSA WOODS President 435-790-8882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 8976890-0142) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |