Organization
PURE LIFE RECOVERY
Active
Organization
PURE LIFE RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LUND (EXECUTIVE DIRECTOR)
(801) 664-3741
Entity
Organization
Contact information
Practice address
14218 S CANYON VINE CV, DRAPER, UT 84020-5631
(801) 232-2124
(801) 853-8164
Mailing address
14218 S CANYON VINE CV, DRAPER, UT 84020-5631
(801) 878-9597
(801) 853-8164
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/18/2017
Last updated
01/02/2018
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