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NPI Code Detail

MEDICARE: JOURNEY TREATMENT CENTER

MEDICARE: JOURNEY TREATMENT CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1982240958
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOURNEY TREATMENT CENTER
Provider Business Mailing Address
First Line : 8072 S HIGHLAND DR
Second Line :
City : COTTONWOOD HEIGHTS
State : UT
Zip : 84121-5037
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8072 S HIGHLAND DR
Second Line :
City : COTTONWOOD HEIGHTS
State : UT
Zip : 84121-5037
Country : US
Telephone Number : 801-455-2687
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DAVID CAMPBELL
Credential :
Telephone Number : 801-718-3405
Provider Enumeration Date : 11/25/2019
Last Update Date : 11/25/2019

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Directions to “JOURNEY TREATMENT CENTER ” Practice Location

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