Organization
CLEAR RECOVERY OF CACHE VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY ROBERT HYMAS (CEO)
(435) 258-8983
Entity
Organization
Contact information
Practice address
277 N SPRING CREEK PKWY, PROVIDENCE, UT 84332-9775
(435) 753-0253
(435) 753-0106
Mailing address
PO BOX 476, PROVIDENCE, UT 84332-0476
(435) 753-0253
(435) 753-0106
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
15425
UT
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/01/2015
Last updated
05/09/2019
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