| NPI | 1871016840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURT GRAY Owner 801-904-3243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2022-07-21 |