Organization
COPPER SAGE RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG WOOLSTON (BUSINESS DIRECTOR)
(801) 455-4167
Entity
Organization
Contact information
Practice address
14014 S 2200 W, BLUFFDALE, UT 84065-5325
(801) 455-4167
Mailing address
14014 S 2200 W, BLUFFDALE, UT 84065-5325
(801) 455-4167
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
50624
UT
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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