Willow Tree Recovery, LLC
NPI #1730456963 in Pleasant Grove, Utah
Provider Information
- NPI Number
- 1730456963
- Entity Type
- Organization
- Organization Name
- Willow Tree Recovery, LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Nov 16, 2011
- Last Updated
- Nov 16, 2011
Practice Location
- Address
- 145 S 1300 W
- City
- Pleasant Grove
- State
- Utah
- ZIP Code
- 84062-3580
- Phone
- (801) 785-9400
Authorized Official
- Name
- MR. JACOB C FORSYTH
- Title
- OWNER
- Phone
- (801) 785-9400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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