NPI Code Detail JSON Logo

1093043697 NPI number — NEW ROADS TREATMENT CENTERS

NPI Number: 1093043697
Health Care Provider/Practitioner: NEW ROADS TREATMENT CENTERS

Information about “1093043697” NPI (NEW ROADS TREATMENT CENTERS) exists in 1093043697 in HTML format HTML  |  1093043697 in plain Text format TXT  |  1093043697 in PDF (Portable Document Format) PDF  |  1093043697 in an XML format XML  formats.

NPI Number : 1093043697 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093043697",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "NEW ROADS TREATMENT CENTERS",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1365 SOUTH 1250 WEST",
    "SecondLineMailingAddress": "SUITE 101",
    "MailingAddressCityName": "OREM",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84058",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "801-669-5888",
    "MailingAddressFaxNumber": "801-669-5889",
    "FirstLinePracticeLocationAddress": "1365 SOUTH 1250 WEST",
    "SecondLinePracticeLocationAddress": "SUITE 101",
    "PracticeLocationAddressCityName": "OREM",
    "PracticeLocationAddressStateName": "UT",
    "PracticeLocationAddressPostalCode": "84058",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "801-669-5888",
    "PracticeLocationAddressFaxNumber": "801-669-5889",
    "EnumerationDate": "11/20/2009",
    "LastUpdateDate": "11/20/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SCHMIDT",
    "AuthorizedOfficialFirstName": "ERIC",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCSW",
    "AuthorizedOfficialTelephoneNumber": "801-910-9329",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "324500000X",
        "TaxonomyName": "Substance Abuse Rehabilitation Facility",
        "LicenseNumber": "4925186-3501",
        "LicenseNumberStateCode": "UT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.