ACQUA RECOVERY LLC NPI 1912365172

NPI Information

  • NPI: 1912365172
  • Provider Name: ACQUA RECOVERY, LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 3940 N TRAVERSE MOUNTAIN BLVD
    LEHI, UT
    ZIP 84043
  • Phone: (954) 634-4425

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NPI Details

ACQUA RECOVERY, LLC is a rehabilitation and substance use disorder clinic center in Lehi, UT. ACQUA RECOVERY, LLC NPI is 1912365172. The provider is registered as an organization entity type.

The provider's business location address is:

3940 N TRAVERSE MOUNTAIN BLVD
LEHI, UT
ZIP 84043-914
Phone: (954) 634-4425

The provider's authorized official is Clint Tolman .
The authorized official title is Administator and has the following contact phone number (954) 634-4425.

The enumeration date for this NPI number is 2/3/2016 and was last updated on 2/3/2016.

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
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder20785UTAHYes

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: 3/30/2025

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