NPIMap

Organization Active NPI

Marula

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Orem, UT
National Provider Identifier
1174281018
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
MARULA
Practice address
208 E 860 S
Orem, UT 84058-5013
Phone
(801) 225-1528
Fax
(801) 225-0097
NPI assigned
Dec 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Authorized official

Name
Mallory BowenNPI 1386302644
Title
Owner/Program Director
Phone
(801) 225-1528

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

208 E 860 S
Orem, UT 84058-5013

Mailing address

208 E 860 S
Orem, UT 84058-5013
Phone (801) 225-1528

National Provider Directory

National Provider Directory

Locations

208 E 860 S
Orem, UT 84058
Phone (801) 225-1528

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1174281018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 E 860 S",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840585013",
            "telephone_number": "801-225-1528",
            "fax_number": "801-225-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E 860 S",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840585013",
            "telephone_number": "801-225-1528",
            "fax_number": "801-225-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARULA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_title_or_position": "OWNER/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "801-225-1528"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.