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Contact Information

TEAM RECOVERY
2600 N MAIN ST STE 204
NORTH LOGAN, UT84341-1510
 Phone: 435-881-3724
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Substance Abuse Disorder Rehabilitation Facility

324500000X
 

Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

261QR0401X B4[14] Comprehensive Outpatient Rehabilitation Facility
Indicates primary specialty

NPI Profile & details for TEAM RECOVERY

NPI Number 1144866740
LBN Legal business name TEAM RECOVERY
Authorized official COLDEN GLENN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/19/2019
Last updated 04/13/2022 - About 4 years ago
Identifiers n/a
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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