Organization
BRC WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN SAUL (EXECUTIVE DIRECTOR)
(801) 652-7339
Entity
Organization
Contact information
Practice address
4911 S 900 E STE B, SALT LAKE CITY, UT 84117-5747
(801) 676-9322
(801) 838-2100
Mailing address
1265 E FORT UNION BLVD STE 140, COTTONWOOD HEIGHTS, UT 84047-1904
(801) 849-0453
(801) 838-2100
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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