Active NPI
Utah Addiction Centers
- Substance Abuse Rehabilitation Facility
- Eagle Mountain, UT
National Provider Identifier
1609130418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.