Organization
PAINTED DESERT RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR TERRY JD (OWNER)
(435) 272-2193
Entity
Organization
Contact information
Practice address
1947 S 2800 E, NEW HARMONY, UT 84757-5115
(435) 272-2193
Mailing address
461 N 2300 WEST CIR, SAINT GEORGE, UT 84770-7374
(435) 272-2193
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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