Organization
SUNCREST RECOVERY
Active
Organization
SUNCREST RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J LUND (EXECUTIVE DIRECTOR)
(801) 664-3741
Entity
Organization
Contact information
Practice address
14218 S CANYON VINE CV, DRAPER, UT 84020-5631
(801) 542-0650
(801) 542-0729
Mailing address
14218 S CANYON VINE CV, DRAPER, UT 84020-5631
(801) 542-0650
(801) 542-0729
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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