| NPI | 1952241622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA SCHULZ CFO 801-473-3963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2026-03-31 |
| Last Update Date | 2026-03-31 |