Organization
AVANTE RECOVERY CENTER, LLC
Active
Parent organization
AVANTE RECOVERY CENTER, LLC
Other names
Avante Recovery Center, Avante Treatment Center, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVANTE RECOVERY CENTER, LLC
Authorized official
DWAYNE NIELSON (MANAGING OWNER)
(801) 550-0750
Entity
Organization
Contact information
Practice address
848 E 1475 N, LEHI, UT 84043-3568
(801) 550-0750
Mailing address
9 E EXCHANGE PL STE 600, SALT LAKE CITY, UT 84111-2774
(801) 550-0750
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82232
DEPARTMENT OF HUMAN SERVICES - RESIDENTIAL LICENSE
UT
01
—
84458
DEPARTMENT OF HUMAN SERVICES - DETOXIFICATION LICENSE
UT
01
—
84459
DEPARTMENT OF HUMAN SERVICES - DAY TREATMENT LICENSE
UT
01
—
84460
DEPARTMENT OF HUMAN SERVICES - OUTPATIENT LICENSE
UT
Enumeration date
12/11/2019
Last updated
12/30/2019
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