Organization
ACTIVE RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE HORI CPA (CLINICAL DIRECTOR)
(801) 628-4944
Entity
Organization
Contact information
Practice address
25 S MAIN ST # 212, CENTERVILLE, UT 84014-1840
(801) 663-6656
Mailing address
25 S MAIN ST # 212, CENTERVILLE, UT 84014-1840
(801) 663-6656
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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