Whalio Doctors

NPI 1104460666

Active Recovery, LLC

Organisation Substance Abuse Rehabilitation Facility Centerville, UT

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
Residential Treatment Facilities Taxonomy 324500000X

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.