Organization
THE PHOENIX RECOVERY CENTER LLC
Active
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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