Organization
RESURGO RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANNER MOFFAT CSW (CO-OWNER/THERAPIST)
(385) 273-7250
Entity
Organization
Contact information
Practice address
3832 W MOUNTAINTOP CIR, CEDAR HILLS, UT 84062
(385) 273-7250
Mailing address
1046 EAST SCUTTLEBUTT LANE, SARATOGA SPRINGS, UT 84045
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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