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WASATCH RECOVERY TREATMENT CENTER LLC NPI 1407129901


NPI Information

NPI: 1407129901
Provider Name: WASATCH RECOVERY TREATMENT CENTER LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 46D2039590

Address:
8420 WASATCH BLVD
COTTONWOOD HEIGHTS, UT
ZIP 84121
Phone: (801) 901-0024
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WASATCH RECOVERY TREATMENT CENTER LLC is a substance abuse rehabilitation facility in Cottonwood Heights, 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. WASATCH RECOVERY TREATMENT CENTER LLC NPI is 1407129901. The provider is registered as an organization entity type.

The provider's business location address is:

8420 WASATCH BLVD
COTTONWOOD HEIGHTS, UT
ZIP 84121-043
Phone: (801) 901-0024
Fax: (801) 278-2724

The provider's authorized official is David Hunt Whitaker .
The authorized official title is Clinical Director and has the following contact phone number (801) 828-7715.

The CLIA number assigned to this NPI record is 46D2039590 - other - residential drug rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2012 and was last updated on 4/4/2014.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility18921UTAHYes

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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