Organization · Type 2 NPI
Alta Summit, Inc.
Substance Use Disorder Rehabilitation Clinic/Center · South Salt Lake, UT
NPI number
1699413849
Active
Practice location
3855 S 500 W Ste H
South Salt Lake, UT 84115-4253
Mailing address
3855 S 500 W Ste E
South Salt Lake, UT 84115-4253
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
About NPI 1699413849
Alta Summit, Inc.'s National Provider Identifier is 1699413849, issued on May 26, 2022. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in South Salt Lake, UT. The record was last updated on Jun 2, 2022.