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Organization
DAYLIGHT RECOVERY
Active
Organization
DAYLIGHT RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG RUSSELL (COO)
(801) 891-6387
Entity
Organization
Contact information
Practice address
672 E UNION SQ, SANDY, UT 84070-3403
(801) 566-2468
Mailing address
2148 E MONTANE DR, DRAPER, UT 84020-9171
(801) 913-8889
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
30389
UT
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
30390
UT
Other
Enumeration date
10/18/2016
Last updated
04/03/2018
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