DEER HOLLOW LAKESIDE LLC is a substance abuse rehabilitation facility in Brighton, 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. DEER HOLLOW LAKESIDE LLC NPI is 1487160875. The provider is registered as an organization entity type.
The provider's business location address is:
7904 S NORDIC TRAIL LN
BRIGHTON, UT
ZIP 84121-000
Phone: (801) 679-6669
Fax: (801) 203-9216
The provider's authorized official is Tina R Romano .
The authorized official title is Director Of Financial Operations and has the following contact phone number (801) 759-1734.
The CLIA number assigned to this NPI record is 46D2284218 - other - residential treatment cen with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/20/2017 and was last updated on 2/23/2018.