| NPI | 1891307104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WALKENHORST Accounting Director 801-465-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2023-09-27 |