Organization · Type 2 NPI
Acqua Recovery LLC
Substance Use Disorder Rehabilitation Clinic/Center · Midway, UT
NPI number
1932595899
Active
Practice location
100 N Johnson Mill Rd
Midway, UT 84049-6764
Mailing address
1031 S Douglas St
Salt Lake City, UT 84105-1505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 13415 (UT) |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | 13414 (UT) |
| Substance Abuse Rehabilitation Facility | 324500000X | 10218 (UT) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
5 other providers at this address
- Acqua Medical LLCAddiction Medicine (Family Medicine) Physician Midway, UT NPI 1427580448
- David Patrick Jay, SUDCAddiction (Substance Use Disorder) Counselor Midway, UT NPI 1821972639
- Gloria E. Anderson, LMHC, LCAP, CMHCMental Health Counselor Midway, UT NPI 1023204427
- Kathy Felt, LCSWAddiction (Substance Use Disorder) Counselor Midway, UT NPI 1629967575
- Terrell Lee Sellers, MDAddiction Medicine (Family Medicine) Physician Midway, UT NPI 1033373865
About NPI 1932595899
Acqua Recovery LLC's National Provider Identifier is 1932595899, issued on Apr 7, 2015. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Midway, UT. The record was last updated on Apr 7, 2015.