Painted Desert Recovery LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PAINTED DESERT RECOVERY LLC

Practice address

1947 S 2800 E
New Harmony, UT 84757-5115

Phone

(435) 272-2193

NPI assigned

Aug 13, 2020

Last updated

Aug 13, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Trevor Terry, JD

Title

Owner

Phone

(435) 272-2193

Specialties & licenses 1

Addresses

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1003427923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 N 2300 WEST CIR",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847707374",
            "telephone_number": "435-272-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 S 2800 E",
            "city": "NEW HARMONY",
            "state": "UT",
            "postal_code": "847575115",
            "telephone_number": "435-272-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAINTED DESERT RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-272-2193",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "trevor@PDR.HELP",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "address_1": "1947 S 2800 E",
            "city": "New Harmony",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847575115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jalane Christian-Stoker, LMFT
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• Kolob Canyon
• Becky Sue Moore, D.M.D.
• The Bridge Health Recovery Center
• Triumph Youth Ranch (Kolob Canyon RTC)
• Zion Recovery, LLC
• Zion Recovery, LLC

• Substance Use Disorder Rehabilitation Clinic/Center in New Harmony, UT
• Providers in New Harmony, UT by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.