Organization
JUNIPER CANYON RECOVERY CENTER FOR WOMEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANETTE HISKEY (FINANCE MANAGER)
(435) 836-2272
Entity
Organization
Contact information
Practice address
520 NORTH ASPEN ROAD, LOA, UT 84747-8474
(435) 836-2722
(435) 836-2274
Mailing address
PO BOX 400, LOA, UT 84747-0400
(435) 836-2272
(435) 836-2274
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/23/2019
Last updated
06/11/2019
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