Salt Creek Addiction Recovery Services

NPI #1639565260 in Moroni, Utah

Provider Information

NPI Number: 1639565260
Entity Type: Organization
Organization Name: Salt Creek Addiction Recovery Services
Primary Specialty: Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date: Apr 10, 2015
Last Updated: Apr 10, 2015

Practice Location

Address: 21360 N 1450 E
City: Moroni
State: Utah
ZIP Code: 84646
Phone: (435) 262-0891

Authorized Official

Name: KEVIN ROGER BAILEY, CMCH
Title: DIRECTOR/OWNER
Phone: (435) 262-0891

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X	Primary

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