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Organization

THE PHOENIX RECOVERY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTIN TIMMONS (EXECUTIVE DIRECTOR)
(801) 438-3185
Entity
Organization

Contact information

Practice address
489 W. SOUTH JORDAN PARKWAY, STE 500, UT 84095
(801) 438-3185
(801) 438-3184
Mailing address
11762 S STATE ST, SUITE 360, DRAPER, UT 84020-7155
(801) 571-6798
(801) 619-2016

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
324500000X
Substance Abuse Rehabilitation Facility
Primary
20020
UT

Other

Enumeration date
12/01/2012
Last updated
04/05/2021
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