Organization
WILLOW TREE RECOVERY, LLC
Active
Organization
WILLOW TREE RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB C FORSYTH (OWNER)
(801) 785-9400
Entity
Organization
Contact information
Practice address
145 S 1300 W, PLEASANT GROVE, UT 84062-3580
(801) 785-9400
(801) 785-9499
Mailing address
145 S 1300 W, PLEASANT GROVE, UT 84062-3580
(801) 785-9400
(801) 785-9499
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
18489
UT
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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