Organization
THISTLE MOUNTAIN RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA SMITH (BUSINESS OFFICE MANAGER)
(801) 798-9077
Entity
Organization
Contact information
Practice address
14048 SOUTH HIGHWAY 89, SPANISH FORK, UT 84660
(801) 798-9077
Mailing address
PO BOX 361, SPANISH FORK, UT 84660-0361
(801) 798-9077
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
UT
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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