| NPI | 1912108242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY FISHER Director Of Operations 801-222-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 12370) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2016-11-26 |