| Addiction Recovery Services | |
|
175 S Main St Suite 512 Salt Lake City UT 84111-1916 | |
| (801) 830-2915 | |
| Not Available |
| Full Name | Addiction Recovery Services |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 175 S Main St, Salt Lake City, Utah |
| Authorized Official Name and Position | Nicole C Nelson (PRESIDENT) |
| Authorized Official Contact | 8018302915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Addiction Recovery Services 175 S Main St 512 Salt Lake City UT 84111-1916 Ph: (801) 830-2915 | Addiction Recovery Services 175 S Main St Suite 512 Salt Lake City UT 84111-1916 Ph: (801) 830-2915 |
| NPI Number | 1184011397 |
|---|---|
| Provider Enumeration Date | 04/25/2015 |
| Last Update Date | 05/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184011397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 6854100-6006 (Utah) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 6854100-6004 (Utah) | Secondary |
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