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BREAKAWAY RECOVERY CENTER MURRAY LLC NPI 1871016840


NPI Information

NPI: 1871016840
Provider Name: BREAKAWAY RECOVERY CENTER MURRAY, LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
5296 S COMMERCE DR STE 204
MURRAY, UT
ZIP 84107
Phone: (801) 904-3242
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BREAKAWAY RECOVERY CENTER MURRAY, LLC is a rehabilitation and substance use disorder clinic center in Murray, UT. BREAKAWAY RECOVERY CENTER MURRAY, LLC NPI is 1871016840. The provider is registered as an organization entity type.

The provider's business location address is:

5296 S COMMERCE DR STE 204
MURRAY, UT
ZIP 84107-393
Phone: (801) 904-3242

The provider's authorized official is Curt Gray .
The authorized official title is Owner and has the following contact phone number (801) 904-3243.

The enumeration date for this NPI number is 7/21/2017 and was last updated on 7/21/2017.


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: 11/14/2023

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