| NPI | 1861252793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY MOSIER Owner And COO 801-380-8830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2024-03-19 |