Healthcare Provider Details

I. General information

NPI: 1699119578
Provider Name (Legal Business Name): CHATEAU RECOVERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2013
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W 4200 N
OAKLEY UT
84055
US

IV. Provider business mailing address

PO BOX 280
OAKLEY UT
84055-0280
US

V. Phone/Fax

Practice location:
  • Phone: 435-654-1082
  • Fax: 435-654-1485
Mailing address:
  • Phone: 435-654-1082
  • Fax: 435-654-1485

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number20095
License Number StateUT

VIII. Authorized Official

Name: DANIEL WARNER
Title or Position: CEO
Credential:
Phone: 354-654-1082