Acqua Recovery LLC

NPI #1932595899 in Midway, Utah

Provider Information

NPI Number: 1932595899
Entity Type: Organization
Organization Name: Acqua Recovery LLC
Primary Specialty: Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date: Apr 7, 2015
Last Updated: Apr 7, 2015

Practice Location

Address: 100 N JOHNSON MILL RD
City: Midway
State: Utah
ZIP Code: 84049-6764
Phone: (954) 678-0078

Authorized Official

Name: MR. CLINT TOLMAN
Title: DIRECTOR
Phone: (954) 678-0078

Specialties & Taxonomy Codes

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

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