Jrl Broken Arrow LLC
NPI #1528444999 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1528444999
- Entity Type
- Organization
- Organization Name
- Jrl Broken Arrow LLC
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- Aug 7, 2015
- Last Updated
- Aug 7, 2015
Practice Location
- Address
- 2610 S HIGHLAND DR
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84106-2714
- Phone
- (801) 216-4800
Authorized Official
- Name
- MRS. JOHANNA SALTER
- Title
- COO
- Phone
- (801) 216-4800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
| Psychiatric Residential Treatment Facility |
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