Organization
EOS SERENITY LODGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILARY ROWBERRY (EXECUTIVE DIRECTOR)
(801) 513-7174
Entity
Organization
Contact information
Practice address
1445 E 5600 S, SOUTH OGDEN, UT 84403-4537
(801) 513-7174
Mailing address
1445 E 5600 S, SOUTH OGDEN, UT 84403-4537
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
02/09/2026
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