MOUNTAIN PEAKS RECOVERY FOUNDATION NPI 1750052924

NPI Information

NPI: 1750052924
Provider Name: MOUNTAIN PEAKS RECOVERY FOUNDATION
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 46D2022095

Address:
383 N STATE ST STE 201
OREM, UT
ZIP 84057
Phone: (385) 312-8400
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MOUNTAIN PEAKS RECOVERY FOUNDATION is a rehabilitation and substance use disorder clinic center in Orem, UT. MOUNTAIN PEAKS RECOVERY FOUNDATION NPI is 1750052924. The provider is registered as an organization entity type.

The provider's business location address is:

383 N STATE ST STE 201
OREM, UT
ZIP 84057-781
Phone: (385) 312-8400
Fax: (801) 734-3938

The provider's authorized official is Lena Kroeber .
The authorized official title is Cfo and has the following contact phone number (385) 312-8400.

The CLIA number assigned to this NPI record is 46D2022095 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/27/2021 and was last updated on 9/27/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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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