National Provider Identifier Database

BRC OUTPATIENT LLC
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

BRC OUTPATIENT LLC
4905 S 900 E
SALT LAKE CITY, UT84117-5703
Phone: 801-869-1095
Fax: 801-869-1096
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X
Mental Health (Including Community Mental Health Center) 261QM0801X
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

* Indicates primary specialty

NPI Profile & details for BRC OUTPATIENT LLC

NPI Number 1194260810
Legal business name
LBN
BRC OUTPATIENT LLC
Authorized official JONATHAN SAUL - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 01/04/2017
Last updated 05/05/2026 - About a month ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 36133

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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