| NPI | 1942600846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY ALLEN REICH Clinical Director 801-450-7893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 4625) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-09-11 |