| NPI | 1700265089 |
|---|---|
| Doing Business As | BLACK ROCK RECOVERY |
| Entity Type | Organization |
| Authorized Contact | DUSTIN LONG CEO 801-709-9419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 283Q00000X Psychiatric Hospital | |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |