Organization · Type 2 NPI
Summit Lodge Recovery Center
Substance Abuse Rehabilitation Facility · Fairview, UT
NPI number
1831374768
Active
Practice location
RR 1 Box 73B
Fairview, UT 84629-9505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 13564 (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.
About NPI 1831374768
Summit Lodge Recovery Center's National Provider Identifier is 1831374768, issued on Jan 9, 2008. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Fairview, UT. The record was last updated on Jan 9, 2008.