Organization
THE PHOENIX RECOVERY & COUNSELING CENTER - OREM
Active
Parent organization
THE PHOENIX RECOVERY CENTER, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE PHOENIX RECOVERY CENTER, LLC
Authorized official
MR. BRADLEY CHRISTENSEN (OPERATIONS DIRECTOR)
(801) 571-6798
Entity
Organization
Contact information
Practice address
857 W CENTER ST, OREM, UT 84057-5201
(801) 691-1761
(801) 691-1759
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
101Y00000X
Counselor
30206
UT
101YA0400X
Addiction (Substance Use Disorder) Counselor
30206
UT
101YM0800X
Mental Health Counselor
30206
UT
101YP2500X
Professional Counselor
30206
UT
103K00000X
Behavior Analyst
30206
UT
261QM0850X
Adult Mental Health Clinic/Center
30206
UT
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
30206
UT
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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