Diamond Detox, LLC

NPI #1588292064 in Roy, Utah

Provider Information

NPI Number: 1588292064
Entity Type: Organization
Organization Name: Diamond Detox, LLC
Primary Specialty: Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date: Mar 30, 2020
Last Updated: Feb 6, 2024

Practice Location

Address: 4965 S 3500 W
City: Roy
State: Utah
ZIP Code: 84067-9417
Phone: (385) 888-9624

Authorized Official

Name: JORDAN BURNINGHAM
Title: EXECUTIVE DIRECTOR
Phone: (801) 330-3440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility	324500000X
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X	Primary

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