Organization
BLUE SKIES RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAM JEAN GRAMSE (DIRECTOR)
(801) 392-8900
Entity
Organization
Contact information
Practice address
727 24TH ST, SUITE 3, OGDEN, UT 84401-2581
(801) 392-8900
(801) 394-5085
Mailing address
PO BOX 762, OGDEN, UT 84402-0762
(801) 392-8900
(801) 394-5085
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
3782
UT
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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