| Zion Recovery Center Outpatient, Llc | |
|
360 W 920 N Orem UT 84057-3042 | |
| (626) 797-9977 | |
| (626) 844-2977 |
| Full Name | Zion Recovery Center Outpatient, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 360 W 920 N, Orem, Utah |
| Authorized Official Name and Position | Matthew Jacobson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6267979977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zion Recovery Center Outpatient, Llc 4682 E Foxwood Dr Eagle Mountain UT 84005-6176 Ph: (626) 797-9977 | Zion Recovery Center Outpatient, Llc 360 W 920 N Orem UT 84057-3042 Ph: (626) 797-9977 |
| NPI Number | 1245659606 |
|---|---|
| Provider Enumeration Date | 04/14/2014 |
| Last Update Date | 04/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245659606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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