Organization
COPPER MOUNTAIN RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULETTE JENSEN (CONTRACT SPECIALIST)
(801) 842-8365
Entity
Organization
Contact information
Practice address
5288 S ALLENDALE DR, MURRAY, UT 84123-4536
(801) 326-5180
Mailing address
4848 S COMMERCE DR, MURRAY, UT 84107-4761
(801) 326-5180
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
UT
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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