National Provider Identifier Database

SALT CREEK ADDICTION RECOVERY SERVICES
Substance Abuse Treatment, Children

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.


Contact Information

SALT CREEK ADDICTION RECOVERY SERVICES
21360 N 1450 E
MORONI, UT84646
Phone: 435-262-0891
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Treatment, Children 3245S0500X

* Indicates primary specialty

NPI Profile & details for SALT CREEK ADDICTION RECOVERY SERVICES

NPI Number 1639565260
Legal business name
LBN
SALT CREEK ADDICTION RECOVERY SERVICES
Authorized official KEVIN BAILEY - (DIRECTOR/OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/10/2015
Last updated 04/10/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 15W91838

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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