Whalio Doctors

NPI 1053779041

The Phoenix Recovery & Counseling Center - St George

Organisation Substance Use Disorder Rehabilitation Clinic/Center St George, UT

Practice location

Address
230 N 1680 E Suite U1, St George, UT 84790-2579
Phone
(435) 627-0287
Mailing address
11762 S State St Suite 360, Draper, UT 84020-7155

Authorised official

Name
Bradley Randall Christensen
Title
Operations Director
Phone
(435) 773-5857

Registered specialties (7)

Substance Use Disorder Rehabilitation Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QR0405X Licence 19187 (UT)
Counselor
Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence 19187 (UT)
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 19187 (UT)
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 19187 (UT)
Professional Counselor
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 19187 (UT)
Behavior Analyst
Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 19187 (UT)
Adult Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0850X Licence 19187 (UT)

Registry record

NPI
1053779041
Entity type
Organization
NPI issued
4 Feb 2016
Record last updated
4 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.