Organization
PINES RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUANE M CONNER (OWNER)
(801) 608-4557
Entity
Organization
Contact information
Practice address
425 MOULTON LN, HEBER CITY, UT 84032-3843
(801) 608-4557
Mailing address
425 MOULTON LN, HEBER CITY, UT 84032-3843
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
11014
UT
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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