| NPI | 1871644690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA LYNN BOBERG Executive Director 801-733-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 1459814-0140) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |