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.
|Practice Location||100 N Johnson Mill Rd, Midway, UT 84049-6764, US|
|Practice Location Phone||954-678-0078|
|Practice Location Fax|
|Legal Business Name||ACQUA RECOVERY LLC|
|Enumeration Date ?||Apr 7, 2015|
|Last Update Date ?||Apr 7, 2015|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||Rehabilitation, Substance Use Disorder||13414||Utah|
|Clinic/Center||Ambulatory Health Care Facilities||Rehabilitation, Substance Use Disorder||13415||Utah|
|Substance Abuse Rehabilitation Facility||Residential Treatment Facilities||10218||Utah|
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/Position||DIRECTOR|
|Authorized Official Phone Number||954-678-0078|