| NPI | 1982036273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CHANDLER Support Staff Coordinator 801-448-8914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-08-08 |