Organization · Type 2 NPI
The Phoenix Recovery & Counseling Center - Riverdale
Substance Use Disorder Rehabilitation Clinic/Center · Riverdale, UT
NPI number
1346600293
Active
Practice location
5133 S 1500 W
Riverdale, UT 84405-3926
Fax (801) 619-2016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 19186 (UT) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 19186 (UT) |
| Mental Health Counselor | 101YM0800X | 19186 (UT) |
| Professional Counselor | 101YP2500X | 19186 (UT) |
| Behavior Analyst | 103K00000X | 19186 (UT) |
| Adult Mental Health Clinic/Center | 261QM0850X | 19186 (UT) |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | 19186 (UT) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
Another provider at this address
About NPI 1346600293
The Phoenix Recovery & Counseling Center - Riverdale's National Provider Identifier is 1346600293, issued on Mar 3, 2016. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Riverdale, UT. The record was last updated on Mar 3, 2016.