ACQUA RECOVERY, LLC


Address: 3940 N Traverse Mountain Blvd, Lehi, UT 84043-4914
Phone: 9546344425

ACQUA RECOVERY, LLC (NPI# 1912365172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912365172
Entity Type Organization
Organization Name ACQUA RECOVERY, LLC
Practice Address 3940 N Traverse Mountain Blvd
Lehi
UT 84043-4914
Mailing Address 1031 S Douglas St
Salt Lake City
UT 84105-1505
Practice Telephone 9546344425
Enumeration Date 2016-02-03
Last Update Date 2016-02-03
Authorized Official Name MR. CLINT TOLMAN (ADMINISTATOR)
Authorized Official Telephone 9546344425
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
20785 UT Ambulatory Health Care Facilities

Office Location

Street Address 3940 N TRAVERSE MOUNTAIN BLVD
City LEHI
State UT
Zip Code 84043-4914

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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1992343834 Avante Recovery Center, LLC Clinic/Center 848 E 1475 N, Lehi, UT 84043-3568 2019-12-11

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1003427923 Painted Desert Recovery LLC Clinic/Center 1947 S 2800 E, New Harmony, UT 84757-5115 2020-08-13
1437780673 Beecon Recovery Clinic/Center 60 S Main St Ste B0001, Brigham City, UT 84302-6795 2020-01-27
1124666870 One Voice Recovery Clinic/Center 1400 S 1100 E, Salt Lake City, UT 84105-2435 2019-12-12
1467912139 Infinite Arches LLC Clinic/Center 136 25th St, Ogden, UT 84401-1302 2019-03-20
1669952958 Utah Harm Reduction Coalition Clinic/Center 91 E 7200 S, Midvale, UT 84047-1531 2018-08-16
1871016840 Breakaway Recovery Center Murray, LLC Clinic/Center 5296 S Commerce Dr Ste 204, Murray, UT 84107-5393 2017-07-21
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1316392897 Nuway Recovery, LLC Clinic/Center 4925 S 900 E, Salt Lake City, UT 84117-5784 2016-05-03
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Competitor

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City LEHI
Zip Code 84043

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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