ACTIVE RECOVERY LLC NPI 1104460666

NPI Information

ACTIVE RECOVERY, LLC is a substance abuse rehabilitation facility in Centerville, UT. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. ACTIVE RECOVERY, LLC NPI is 1104460666. The provider is registered as an organization entity type.

The provider's business location address is:

25 S MAIN ST # 212
CENTERVILLE, UT
ZIP 84014-840
Phone: (801) 663-6656

The provider's authorized official is Lance Hori .
The authorized official title is Clinical Director and has the following contact phone number (801) 628-4944.

The enumeration date for this NPI number is 10/28/2019 and was last updated on 10/28/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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