Team Recovery

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

TEAM RECOVERY

Practice address

2600 N Main St Ste 204
North Logan, UT 84341-1510

Phone

(435) 881-3724

NPI assigned

Nov 19, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Colden Glenn, CEO

Title

Owner

Phone

(435) 774-6533

Specialties & licenses 2

Addresses

Other names 1

• Golden Steps Doing business as

Locations

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1144866740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N MAIN ST STE 204",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843411510",
            "telephone_number": "435-774-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N MAIN ST STE 204",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843411510",
            "telephone_number": "435-881-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "COLDEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-774-6533",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Steps",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in North Logan, UT
• Providers in North Logan, UT by specialty
• Substance Abuse Rehabilitation Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.