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Addiction Recovery Services

Clinic/Center, Adult Mental Health in Salt Lake City, UT. Organization (NPI-2).

NPI number1184011397
StatusActive
Last updated in NPPESMay 16, 2015

Details

NPI
1184011397
Entity type
Organization (NPI-2)
Legal business name
Addiction Recovery Services
Organization subpart
No
Enumeration date
Apr 25, 2015
Last updated
May 16, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental Health6854100-6006UTYes
261QM0855X Clinic/Center, Adolescent and Children Mental Health6854100-6004UT

Practice location

175 S Main St
Suite 512
Salt Lake City, UT 84111-1916

Phone 801-830-2915

Mailing address

175 S Main St
512
Salt Lake City, UT 84111-1916

Phone 801-830-2915

Authorized official

Nicole C Nelson
President
8018302915

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