MAPLE MOUNTAIN RECOVERY NPI 1174948079

NPI Information

MAPLE MOUNTAIN RECOVERY is a substance abuse rehabilitation facility in Mapleton, 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. MAPLE MOUNTAIN RECOVERY NPI is 1174948079. The provider is registered as an organization entity type.

The provider's business location address is:

727 E 1100 S
MAPLETON, UT
ZIP 84664-016
Phone: (801) 489-9871
Fax: (801) 489-9780

The provider's authorized official is George E Harper .
The authorized official title is President/ceo and has the following contact phone number (801) 602-8336.

The CLIA number assigned to this NPI record is 46D2074563 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2014 and was last updated on 2/28/2014.

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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