National Provider Identifier Database

THE PHOENIX RECOVERY CENTER 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

THE PHOENIX RECOVERY CENTER LLC
489 W. SOUTH JORDAN PARKWAY
STE 500, UT84095
Phone: 801-438-3185
Fax: 801-438-3184
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X
Psychiatric Residential Treatment Facility 323P00000X

* Indicates primary specialty

NPI Profile & details for THE PHOENIX RECOVERY CENTER LLC

NPI Number 1770828873
Legal business name
LBN
THE PHOENIX RECOVERY CENTER LLC
Authorized official KRISTIN TIMMONS - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 12/01/2012
Last updated 04/05/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 20020

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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