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Acqua Recovery Llc

Acqua Recovery Llc is a health care provider in Salt Lake City, UT. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 100 N Johnson Mill Rd, Midway, UT 84049-6764, US
Practice Location Phone954-678-0078
Practice Location Fax
Legal Business NameACQUA RECOVERY LLC
NPI ?1932595899
Entity TypeOrganization
Enumeration Date ? Apr 7, 2015
Last Update Date ? Apr 7, 2015
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Acqua Recovery Llc

SpecialtySpecializationLicenseLicense State
Clinic/CenterRehabilitation, Substance Use Disorder 13415Utah
Clinic/CenterRehabilitation, Substance Use Disorder 13414Utah
Substance Abuse Rehabilitation Facility 10218Utah

official-icon Authorized Official of Acqua Recovery Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Acqua Recovery Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Clint Tolman
Authorized Official Title/PositionDIRECTOR
Authorized Official Phone Number954-678-0078