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Organization

ARCADIA RESIDENTIAL CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MATTHEW JACOBSON (EXECUTIVE DIRECTOR)
(801) 609-1166
Entity
Organization

Contact information

Practice address
4682 EAST FOXWOOD DRIVE, EAGLE MOUNTAIN, UT 84005
(801) 609-1166
Mailing address
4682 EAST FOXWOOD DRIVE, EAGLE MOUNTAIN, UT 84005

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
20835
UT

Other

Enumeration date
05/28/2013
Last updated
05/28/2013
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