Mountain Valley Recovery Llc | |
6910 N Cowboy Lane Holden UT 84636 | |
(435) 253-0656 | |
Not Available |
Full Name | Mountain Valley Recovery Llc |
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Speciality | Community/behavioral Health |
Location | 6910 N Cowboy Lane, Holden, Utah |
Authorized Official Name and Position | Justin E Nielson (OWNER) |
Authorized Official Contact | 4354064093 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mountain Valley Recovery Llc 275 W 100 S Delta UT 84624-9238 Ph: (435) 406-4093 | Mountain Valley Recovery Llc 6910 N Cowboy Lane Holden UT 84636 Ph: (435) 253-0656 |
NPI Number | 1235793290 |
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Provider Enumeration Date | 04/25/2019 |
Last Update Date | 05/06/2024 |
Certification Date | 02/21/2023 |
Identifier | Type | State | Issuer |
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1235793290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Secondary |