| NPI | 1952848509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY PATTON Administrative Director 801-856-7836 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 36385) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 37525) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-23 |