| Mountain Valley Recovery Llc | |
|
6910 N Cowboy Lane Holden UT 84636 | |
| (435) 253-0656 | |
| Not Available |
| Full Name | Mountain Valley Recovery Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6910 N Cowboy Lane, Holden, Utah |
| Authorized Official Name and Position | Justin E Nielson (OWNER) |
| Authorized Official Contact | 4354064093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Valley Recovery Llc 275 W 100 S Delta UT 84624-9238 Ph: (435) 406-4093 | Mountain Valley Recovery Llc 6910 N Cowboy Lane Holden UT 84636 Ph: (435) 253-0656 |
| NPI Number | 1235793290 |
|---|---|
| Provider Enumeration Date | 04/25/2019 |
| Last Update Date | 05/06/2024 |
| Certification Date | 02/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235793290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Secondary |