| NPI | 1619457314 |
|---|---|
| Doing Business As | RECOVERYTLC |
| Entity Type | Organization |
| Authorized Contact | GARY DANSIE Executive Director 801-892-9680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |