| NPI | 1285380394 |
|---|---|
| Doing Business As | MOAB REGIONAL RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | ZACH WOJCIESZEK CFO 435-719-3558 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2022-02-28 |