Four Corners Community Behavioral Health INC
Clinic/Center, Methadone Clinic in Price, UT. Organization (NPI-2).
NPI number1164048492
StatusActive
Last updated in NPPESJun 23, 2020
Details
- NPI
- 1164048492
- Entity type
- Organization (NPI-2)
- Legal business name
- Four Corners Community Behavioral Health INC
- Organization subpart
- Yes
- Enumeration date
- Jun 23, 2020
- Certification date
- Jun 23, 2020
- Last updated
- Jun 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2800X | Clinic/Center, Methadone Clinic | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | |
| 3336C0002X | Pharmacy, Clinic Pharmacy | – | – |
Other names
- Operation Recovery (Doing Business As)
Practice location
77 S 600 EPrice, UT 84501-3174
Phone 435-637-7289
Mailing address
Po Box 867Price, UT 84501-0867
Phone 435-637-7200 · Fax 435-637-2377
Authorized official
Jeanie Willson
Cfo
4356377200
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