| Clear Recovery Of Cache Valley | |
|
277 N Spring Creek Pkwy Providence UT 84332-9775 | |
| (435) 753-0253 | |
| (435) 753-0106 |
| Full Name | Clear Recovery Of Cache Valley |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 277 N Spring Creek Pkwy, Providence, Utah |
| Authorized Official Name and Position | Jay Robert Hymas (CEO) |
| Authorized Official Contact | 4352588983 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Recovery Of Cache Valley Po Box 476 Providence UT 84332-0476 Ph: (435) 753-0253 | Clear Recovery Of Cache Valley 277 N Spring Creek Pkwy Providence UT 84332-9775 Ph: (435) 753-0253 |
| NPI Number | 1922478056 |
|---|---|
| Provider Enumeration Date | 10/01/2015 |
| Last Update Date | 05/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922478056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 15425 (Utah) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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