| NPI | 1922823418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE OCKEY Director 801-816-4977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2024-11-19 |