Juniper Canyon Recovery Center for Women, LLC
Organization Active NPI Substance Abuse Rehabilitation Facility · Loa, UT
NPI 1114584356 · NPPES record last updated Jun 11, 2019
Key facts
- NPI
- 1114584356
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- JUNIPER CANYON RECOVERY CENTER FOR WOMEN, LLC
- Practice address
- 520 North Aspen Road
Loa, UT 84747-8474 - Phone
- (435) 836-2722
- Fax
- (435) 836-2274
- NPI assigned
- May 23, 2019
- Organization subpart
- No
Authorized official
- Name
- Mrs. Janette Hiskey
- Title
- Finance Manager
- Phone
- (435) 836-2272
Practitioners 3
-
Christyn Gerber, ACMHC
-
Rachel Rollins, ACMHC
National Provider Directory
Locations
520 Aspen Rd
Loa, UT 84747
Phone (435) 836-2722
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
520 North Aspen Road
Loa, UT 84747-8474
Mailing address
PO Box 400
Loa, UT 84747-0400
Phone (435) 836-2272
Other providers in Loa, UT
- County of Wayne
- Derek J Daley
- Equine Journeys, LLC
- Christyn Gerber
- Ashlie Marie Harris
- Stephen Kern
- Legacy Outdoor Adventures LLC
- Legacy Treatment Center LLC
- Veronica Malencia
- Michael Andrew Mills
All providers in Loa, UT · Substance Abuse Rehabilitation Facility in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.