| NPI | 1174021281 |
|---|---|
| Doing Business As | LIONS GATE RECOVERY, LLC |
| Entity Type | Organization |
| Authorized Contact | JOSH L CAMPBELL Operations Director 801-718-3935 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 53345) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: UT 53345) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-01-24 |