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Contact Information

ASPEN WILDE RECOVERY
931 W CENTER ST
OREM, UT84057-5203
 Phone: 801-784-8329
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Rehabilitation, Substance Use Disorder

261QR0405X
Indicates primary specialty

NPI Profile & details for ASPEN WILDE RECOVERY

NPI Number 1891032553
LBN Legal business name ASPEN WILDE RECOVERY
Authorized official JENNIFER MAKIN - (PRESIDENT / GENERAL MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/14/2013
Last updated 01/14/2013 - About 13 years ago
Identifiers
UT License # 20073
UT License # 20074
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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