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Contact Information

SALT CREEK ADDICTION RECOVERY SERVICES
21360 N 1450 E
MORONI, UT84646
 Phone: 435-262-0891
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Substance Abuse Treatment, Children

3245S0500X
Indicates primary specialty

NPI Profile & details for SALT CREEK ADDICTION RECOVERY SERVICES

NPI Number 1639565260
LBN Legal business name SALT CREEK ADDICTION RECOVERY SERVICES
Authorized official KEVIN BAILEY - (DIRECTOR/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/10/2015
Last updated 04/10/2015 - About 11 years ago
Identifiers
UT License # 15W91838
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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