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Organization

TEAM RECOVERY

Active
Other names
Golden Steps
Organization subpart
No

Provider details

NPI number
Authorized official
MR. COLDEN GLENN CEO (OWNER)
(435) 774-6533
Entity
Organization

Contact information

Practice address
2600 N MAIN ST STE 204, NORTH LOGAN, UT 84341-1510
(435) 881-3724
Mailing address
2600 N MAIN ST STE 204, NORTH LOGAN, UT 84341-1510
(435) 774-6533

Taxonomy

Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
11/19/2019
Last updated
04/13/2022
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