| New U Recovery LLC | |
|
76 E 7570 S Midvale UT 84047-2633 | |
| (801) 574-8765 | |
| Not Available |
| Full Name | New U Recovery LLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 76 E 7570 S, Midvale, Utah |
| Authorized Official Name and Position | Marsha Kay Stafford (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8015748765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New U Recovery LLC 76 E 7570 S Midvale UT 84047-2633 Ph: (801) 574-8765 | New U Recovery LLC 76 E 7570 S Midvale UT 84047-2633 Ph: (801) 574-8765 |
| NPI Number | 1568813996 |
|---|---|
| Provider Enumeration Date | 06/27/2016 |
| Last Update Date | 06/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568813996 | NPI | - | NPPES |
| 013309154 | Other | UT | DRIVERS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 63009865001 (Utah) | Secondary |
| 251S00000X | Community/behavioral Health | 63009866006 (Utah) | Primary |
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