Organization
DEER HOLLOW RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVIEVE MANNOR (EXECUTIVE DIRECTOR)
(801) 707-8282
Entity
Organization
Contact information
Practice address
1481 E PIONEER RD, DRAPER, UT 84020-9623
(801) 679-6669
Mailing address
PO BOX 1078, DRAPER, UT 84020-1008
(801) 679-6669
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
UT
Other
Enumeration date
07/27/2015
Last updated
02/15/2023
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