Organization · Type 2 NPI
Deer Hollow Lakeside LLC
Substance Abuse Rehabilitation Facility · Brighton, UT
NPI number
1487160875
Active
Practice location
7904 S Nordic Trail Ln
Brighton, UT 84121-1000
Fax (801) 203-9216
Mailing address
PO Box 1078
Draper, UT 84020-1078
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 51884 (UT) |
| Substance Abuse Rehabilitation Facility | 324500000X | 53992 (UT) |
| Substance Abuse Rehabilitation Facility | 324500000X | 53972 (UT) |
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.
Another provider at this address
Other substance abuse rehabilitation facility providers in Brighton
About NPI 1487160875
Deer Hollow Lakeside LLC's National Provider Identifier is 1487160875, issued on Dec 20, 2017. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Brighton, UT. The record was last updated on Feb 23, 2018.