Healthcare Provider Details

I. General information

NPI: 1326563032
Provider Name (Legal Business Name): BRIGHTON RECOVERY CENTER INTENSIVE OUTPATIENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2017
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5677 S 1475 E
SOUTH OGDEN UT
84403-7032
US

IV. Provider business mailing address

1265 E FORT UNION BLVD STE 140
MIDVALE UT
84047-1904
US

V. Phone/Fax

Practice location:
  • Phone: 801-849-0486
  • Fax:
Mailing address:
  • Phone: 801-676-9322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number StateUT
# 3
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: JONATHAN SAUL
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 801-676-9322