Awareness And Recovery Center | |
2180 E 4500 S Ste 210 Holladay UT 84117-4029 | |
(385) 232-6482 | |
(385) 232-6482 |
Full Name | Awareness And Recovery Center |
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Speciality | Social Worker |
Location | 2180 E 4500 S Ste 210, Holladay, Utah |
Authorized Official Name and Position | Christopher Dewey Cavin (CLINICAL DIRECTOR) |
Authorized Official Contact | 3852326482 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Awareness And Recovery Center 406 E 300 S 127 Salt Lake City UT 84111 Ph: (385) 232-6482 | Awareness And Recovery Center 2180 E 4500 S Ste 210 Holladay UT 84117-4029 Ph: (385) 232-6482 |
NPI Number | 1558869255 |
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Provider Enumeration Date | 01/28/2018 |
Last Update Date | 01/28/2018 |
Medicare PECOS PAC ID | 9436404886 |
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Medicare Enrollment ID | O20180626002313 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558869255 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 7095872-3501 (Utah) | Primary |
Provider Name | Christopher D Cavin |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114237807 PECOS PAC ID: 0244414068 Enrollment ID: I20110401000729 |
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