Organization
NEW U RECOVERY LLC
Active
Other names
New U RecoveryLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARSHA KAY STAFFORD SUDC, LPP (EXECUTIVE DIRECTOR)
(801) 574-8765
Entity
Organization
Contact information
Practice address
76 E 7570 S, MIDVALE, UT 84047-2633
(801) 574-8765
Mailing address
76 E 7570 S, MIDVALE, UT 84047-2633
(801) 574-8765
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
63009865001
UT
251S00000X
Community/Behavioral Health Agency
Primary
63009866006
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013309154
DRIVERS LICENSE
UT
Enumeration date
06/27/2016
Last updated
06/27/2016
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