Arcadia Residential Center LLC

Organization Active NPI Substance Abuse Rehabilitation Facility · Eagle Mountain, UT

NPI 1124465489 · NPPES record last updated May 28, 2013

Key facts

NPI
1124465489
Entity type
Organization (NPI type 2)
Primary specialty
Substance Abuse Rehabilitation Facility 324500000X
License
20835 (UT)
Legal business name
ARCADIA RESIDENTIAL CENTER LLC
Practice address
4682 East Foxwood Drive
Eagle Mountain, UT 84005
Phone
(801) 609-1166
NPI assigned
May 28, 2013
Organization subpart
No

Authorized official

Name
Mr. Matthew Jacobson
Title
Executive Director
Phone
(801) 609-1166

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 20835 UT Yes

Addresses

Primary practice location

4682 East Foxwood Drive
Eagle Mountain, UT 84005

Mailing address

4682 East Foxwood Drive
Eagle Mountain, UT 84005

Other providers in Eagle Mountain, UT

All providers in Eagle Mountain, UT · Substance Abuse Rehabilitation Facility in Utah

Sources for this page

Verify at the official NPI Registry.