Organization
SPIRIT MOUNTAIN BEHAVIORAL HEALTH SERVICES
Active
Organization
SPIRIT MOUNTAIN BEHAVIORAL HEALTH SERVICES
Active
Parent organization
SPIRIT MOUNTAIN RECOVERY
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPIRIT MOUNTAIN RECOVERY
Authorized official
MR. EDWARD CHRISTIAN FARNI (PRESIDENT)
(612) 805-5231
Entity
Organization
Contact information
Practice address
5145 AIRPORT RD, ROY, UT 84067-3693
(801) 336-0658
(801) 752-1717
Mailing address
5145 AIRPORT RD, ROY, UT 84067-3693
(801) 336-0658
(801) 752-1717
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
38905
UT
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
35937
UT
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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