| NPI | 1316162183 |
|---|---|
| Doing Business As | LIONS GATE RECOVERY |
| Entity Type | Organization |
| Authorized Contact | JOSH CAMPBELL Operations Manager 435-673-2822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 11900) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2021-04-08 |