National Provider Identifier Database

TEAM RECOVERY
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

TEAM RECOVERY
2600 N MAIN ST STE 204
NORTH LOGAN, UT84341-1510
Phone: 435-881-3724
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

* Indicates primary specialty

NPI Profile & details for TEAM RECOVERY

NPI Number 1144866740
Legal business name
LBN
TEAM RECOVERY
Authorized official COLDEN GLENN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/19/2019
Last updated 04/13/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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