# JAMES MASON CENTERS FOR RECOVERY

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

## Provider details

- **NPI number:** 1902288376
- **Authorized official:** TRISA MCBRIDE (CEO)
- **Authorized official phone:** (801) 652-4567

## Contact information

- **Practice address:** 986 W ATHERTON DR STE 270, SALT LAKE CITY, UT 84123-6887
- **Practice address phone:** (801) 693-1192
- **Mailing address:** 986 W ATHERTON DR STE 270, SALT LAKE CITY, UT 84123-6887
- **Mailing address phone:** (801) 693-1192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 13725 | UT | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 14684 | UT | Yes |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | 18622 | UT | — |

## Other

- **Enumeration date:** 06/22/2015
- **Last updated:** 03/22/2016