Organization
OLYMPUS DRUG AND ALCHOL RECOVERY
Active
Other names
The Pines
Organization subpart
No
Provider details
NPI number
Authorized official
DUANE MICHAEL CONNER (OWNER)
(801) 608-4557
Entity
Organization
Contact information
Practice address
425 MOULTON LN, HEBER CITY, UT 84032-3843
(801) 608-4557
Mailing address
6271 S CANYON COVE DR, SALT LAKE CITY, UT 84121-6337
(801) 608-4557
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
8266
UT
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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