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BRIGHTON RECOVERY CENTER LLC NPI 1245613009


NPI Information

NPI: 1245613009
Provider Name: BRIGHTON RECOVERY CENTER LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 46D2175516

Address:
6000 S 1075 E
SOUTH OGDEN, UT
ZIP 84405
Phone: (801) 479-7035
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BRIGHTON RECOVERY CENTER LLC is a rehabilitation and substance use disorder clinic center in South Ogden, UT. BRIGHTON RECOVERY CENTER LLC NPI is 1245613009. The provider is registered as an organization entity type.

The provider's business location address is:

6000 S 1075 E
SOUTH OGDEN, UT
ZIP 84405-945
Phone: (801) 479-7035

The provider's authorized official is Tyler Godfrey .
The authorized official title is Director and has the following contact phone number (801) 479-7035.

The CLIA number assigned to this NPI record is 46D2175516 - other - substance abuse facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/29/2015 and was last updated on 6/26/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderUTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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