Organization
TEAM RECOVERY
Active
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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