NPI 1104460666
Active Recovery, LLC
Practice location
- Address
- 25 S Main St # 212, Centerville, UT 84014-1840
- Phone
- (801) 663-6656
Authorised official
- Name
- Lance Hori
- Title
- Clinical Director
- Phone
- (801) 628-4944
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1104460666
- Entity type
- Organization
- NPI issued
- 28 Oct 2019
- Record last updated
- 28 Oct 2019
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.