| Awareness And Recovery Center | |
|
2180 E 4500 S Ste 210 Holladay UT 84117-4029 | |
| (385) 232-6482 | |
| (385) 232-6482 |
| Full Name | Awareness And Recovery Center |
|---|---|
| Speciality | Social Worker |
| Location | 2180 E 4500 S Ste 210, Holladay, Utah |
| Authorized Official Name and Position | Christopher Dewey Cavin (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3852326482 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Awareness And Recovery Center 406 E 300 S 127 Salt Lake City UT 84111 Ph: (385) 232-6482 | Awareness And Recovery Center 2180 E 4500 S Ste 210 Holladay UT 84117-4029 Ph: (385) 232-6482 |
| NPI Number | 1558869255 |
|---|---|
| Provider Enumeration Date | 01/28/2018 |
| Last Update Date | 01/28/2018 |
| Medicare PECOS PAC ID | 9436404886 |
|---|---|
| Medicare Enrollment ID | O20180626002313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558869255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7095872-3501 (Utah) | Primary |
| Provider Name | Christopher D Cavin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114237807 PECOS PAC ID: 0244414068 Enrollment ID: I20110401000729 |
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