Crystal Recovery

NPI #1912393000 in Draper, Utah

Provider Information

NPI Number
1912393000
Entity Type
Organization
Organization Name
Crystal Recovery
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Apr 15, 2015
Last Updated
Apr 15, 2015

Practice Location

Address
12894 S ELLERBECK LN
City
Draper
State
Utah
ZIP Code
84020-7127
Phone
(480) 443-0455

Authorized Official

Name
JAMES CUNNINGHAM
Title
OWNER
Phone
(480) 443-0455

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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