Healthcare Provider Details

I. General information

NPI: 1427445980
Provider Name (Legal Business Name): STEPS RECOVERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2015
Last Update Date: 09/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 S OREM BLVD
OREM UT
84058-5011
US

IV. Provider business mailing address

996 W 800 S
PAYSON UT
84651-2766
US

V. Phone/Fax

Practice location:
  • Phone: 801-960-9622
  • Fax:
Mailing address:
  • Phone: 801-465-5111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number11006
License Number StateUT

VIII. Authorized Official

Name: MIKE JORGENSEN
Title or Position: MANAGER/MEMBER
Credential:
Phone: 801-465-5111