Organization · Type 2 NPI
Legacy Outdoor Adventures LLC
Substance Abuse Rehabilitation Facility · Loa, UT
NPI number
1245509918
Active
Practice location
56 South Main Street
Loa, UT 84747
Fax (435) 836-2274
Mailing address
PO Box 400
Loa, UT 84747-0400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse 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.
2 other providers at this address
Other substance abuse rehabilitation facility providers in Loa
About NPI 1245509918
Legacy Outdoor Adventures LLC's National Provider Identifier is 1245509918, issued on Dec 23, 2011. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Loa, UT. The record was last updated on Dec 23, 2011.