| Hope Recovery And Healing, Llc | |
|
575 Edgehill Dr Providence UT 84332-9446 | |
| (435) 999-3038 | |
| Not Available |
| Full Name | Hope Recovery And Healing, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 575 Edgehill Dr, Providence, Utah |
| Authorized Official Name and Position | Jack R Kettering (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3852400321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Recovery And Healing, Llc 575 Edgehill Dr Providence UT 84332-9446 Ph: (435) 999-3038 | Hope Recovery And Healing, Llc 575 Edgehill Dr Providence UT 84332-9446 Ph: (435) 999-3038 |
| NPI Number | 1710573720 |
|---|---|
| Provider Enumeration Date | 12/14/2020 |
| Last Update Date | 12/14/2020 |
| Certification Date | 12/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710573720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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