Organization
HEALING SCIENCE RETREAT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE DEYOUNG (GENERAL MANAGER)
(385) 630-2792
Entity
Organization
Contact information
Practice address
12231 S 1950 E, DRAPER, UT 84020-9671
(385) 630-2792
Mailing address
12231 S 1950 E, DRAPER, UT 84020-9671
(385) 630-2792
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
APPLIED FOR
UT
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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