# CORNER CANYON RECOVERY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Corner Canyon Health Centers
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558876961
- **Authorized official:** MR. BRADLEY RANDALL CHRISTENSEN (CHIEF PEOPLE OFFICER)
- **Authorized official phone:** (801) 994-6735

## Contact information

- **Practice address:** 1450 E PIONEER RD, DRAPER, UT 84020
- **Practice address phone:** (801) 994-1849
- **Practice address fax:** (801) 384-0820
- **Mailing address:** 1450 E PIONEER RD, DRAPER, UT 84020-9618
- **Mailing address phone:** (877) 226-0317
- **Mailing address fax:** (801) 384-0820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 51329 | UT | — |
| 101YM0800X | Mental Health Counselor | 51329 | UT | — |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | 51329 | UT | — |
| 103TC1900X | Counseling Psychologist | 51329 | UT | — |
| 1041C0700X | Clinical Social Worker | 51329 | UT | — |
| 106H00000X | Marriage & Family Therapist | 51329 | UT | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | 51329 | UT | — |
| 2084P0800X | Psychiatry Physician | 51329 | UT | — |
| 2084P0802X | Addiction Psychiatry Physician | 51329 | UT | — |
| 225C00000X | Rehabilitation Counselor | 51329 | UT | — |
| 261Q00000X | Clinic/Center | 51329 | UT | — |
| 261QM0850X | Adult Mental Health Clinic/Center | 51329 | UT | — |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | 51329 | UT | — |
| 363A00000X | Physician Assistant | 51329 | UT | — |

## Other

- **Enumeration date:** 12/07/2017
- **Last updated:** 10/15/2025