ACQUA RECOVERY LLC NPI 1932595899

NPI Information

NPI: 1932595899
Provider Name: ACQUA RECOVERY LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 46D2092398

Address:
100 N JOHNSON MILL RD
MIDWAY, UT
ZIP 84049
Phone: (954) 678-0078
Get Directions

ACQUA RECOVERY LLC is a rehabilitation and substance use disorder clinic center in Midway, UT. ACQUA RECOVERY LLC NPI is 1932595899. The provider is registered as an organization entity type.

The provider's business location address is:

100 N JOHNSON MILL RD
MIDWAY, UT
ZIP 84049-764
Phone: (954) 678-0078

The provider's authorized official is Clint Tolman .
The authorized official title is Director and has the following contact phone number (954) 678-0078.

The CLIA number assigned to this NPI record is 46D2092398 - other - residential treatment cen with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/7/2015 and was last updated on 4/7/2015.

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	13415	UTAH	No
2	324500000X	Substance Abuse Rehabilitation Facility		10218	UTAH	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	13414	UTAH	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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »