Organization
ALTA SUMMIT, INC.
Active
Organization
ALTA SUMMIT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN FAZZINI JR. (TRUSTEE)
(801) 281-0700
Entity
Organization
Contact information
Practice address
3855 S 500 W STE H, SOUTH SALT LAKE, UT 84115-4253
(801) 281-0700
Mailing address
3855 S 500 W STE E, SOUTH SALT LAKE, UT 84115-4253
(801) 281-0700
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
06/02/2022
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