Organization
THE PHOENIX RECOVERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN TIMMONS (EXECUTIVE DIRECTOR)
(801) 438-3185
Entity
Organization
Contact information
Practice address
9980 S 300 W STE 105, SANDY, UT 84070-3641
(801) 438-3185
Mailing address
9980 S 300 W STE 105, SANDY, UT 84070-3641
(801) 438-3185
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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