Organization
ILLUME CENTER, INC
Active
Other names
Ascend Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNA SALTER (COO)
(801) 216-4800
Entity
Organization
Contact information
Practice address
6595 N 6000 W, HIGHLAND, UT 84003-4720
(801) 216-4800
Mailing address
6280 W 9600 N, HIGHLAND, UT 84003-9234
(801) 216-4800
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
16410
UT
Other
Enumeration date
04/20/2010
Last updated
03/11/2024
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