Olafsson Abuse Services, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

18895 Issued in UT

Legal business name

OLAFSSON ABUSE SERVICES, LLC

Doing business as

Intermountain Substance Abuse

Practice address

404 E 4500 S
Suite B-24
Murray, UT 84107-2712

Phone

(801) 268-9844

Fax

(801) 268-1989

NPI assigned

May 16, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Erik Olafsson

Title

Director

Phone

(801) 268-9844

Specialties & licenses 1

Addresses

Other names 1

• Intermountain Substance Abuse Doing business as

Locations

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1407116072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E 4500 S",
            "address_2": "SUITE B-24",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841072712",
            "telephone_number": "801-268-9844",
            "fax_number": "801-268-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E 4500 S",
            "address_2": "SUITE B-24",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841072712",
            "telephone_number": "801-268-9844",
            "fax_number": "801-268-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLAFSSON ABUSE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "OLAFSSON",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "801-268-9844",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "UT",
            "license": "18895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intermountain Substance Abuse",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Ogilvie
• Madison Marie Ohlensehlen, PA
• Sandra Sotto Okoshi, RN
• Jenna Mae Okrasinski, LCSW
• Pawel Okula, MFTGS
• Zaill Olivares Mora
• Brian Samuel Oliver, MD
• Aimee Amanda Olsen
• Barry Olsen, PT
• James Dayton Olsen, CMHC, LPC

• Substance Abuse Rehabilitation Facility in Murray, UT
• Providers in Murray, 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 May 16, 2012; 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.