National Provider Identifier Database

MYSTIC MOTION INC
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

MYSTIC MOTION INC
7602 SOUTH MAIN STREET
MIDVALE, UT84047
Phone: 801-631-7122
Fax: 877-840-9122
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for MYSTIC MOTION INC

NPI Number 1386871853
Legal business name
LBN
MYSTIC MOTION INC
Authorized official BRET HINER - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 06/11/2009
Last updated 06/11/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 15350

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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