Individual provider · Type 1 NPI

Alexandra Dawn Thomas

Substance Abuse Rehabilitation Facility · Salt Lake City, UT

NPI number 1366726895 Active

Practice location

607 E 200 S
Salt Lake City, UT 84102-2110

Mailing address

1860 Mojave Dr
Salt Lake City, UT 84116-1419

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone 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.

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About NPI 1366726895

Alexandra Dawn Thomas's National Provider Identifier is 1366726895, issued on Oct 3, 2011. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Salt Lake City, UT. The record was last updated on Oct 3, 2011.