# SECOND PEAK RECOVERY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508783374
- **Authorized official:** AJ YERGENSEN (ADMIN)
- **Authorized official phone:** (435) 986-9369

## Contact information

- **Practice address:** 249 E TABERNACLE ST STE 200, ST GEORGE, UT 84770-2968
- **Practice address phone:** (435) 254-1088
- **Practice address fax:** (435) 254-1087
- **Mailing address:** 249 E TABERNACLE ST STE 200, ST GEORGE, UT 84770-2968
- **Mailing address phone:** (435) 254-1088
- **Mailing address fax:** (435) 254-1087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/02/2026
- **Last updated:** 08/04/2026