Organization Active NPI

Utah Addiction Centers

  • Substance Abuse Rehabilitation Facility
  • Eagle Mountain, UT
National Provider Identifier
1609130418
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
UTAH ADDICTION CENTERS
Practice address
2590 Prarie View Drive
Eagle Mountain, UT 84005
Phone
(801) 766-2233
NPI assigned
Jun 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Authorized official

Name
Darron Quentin Boberg
Title
President/Owner
Phone
(801) 766-2233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

2590 Prarie View Drive
Eagle Mountain, UT 84005

Mailing address

2590 Prarie View Drive
Eagle Mountain, UT 84005
Phone (801) 766-2233

Other names 1

  • Inner-Vention Behavioral Health Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1609130418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 PRARIE VIEW DRIVE",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "84005",
            "telephone_number": "801-766-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 PRARIE VIEW DRIVE",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "84005",
            "telephone_number": "801-766-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH ADDICTION CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "BOBERG",
        "authorized_official_first_name": "DARRON",
        "authorized_official_middle_name": "QUENTIN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "801-766-2233"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner-Vention Behavioral Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Eagle Mountain, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.