| NPI | 1942521430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE FRITZ CFO 801-487-3276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 16588) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2010-06-18 |