Breakaway Recovery Center Murray, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

BREAKAWAY RECOVERY CENTER MURRAY, LLC

Practice address

5296 S Commerce Dr Ste 204
Murray, UT 84107-5393

Phone

(801) 904-3242

NPI assigned

Jul 21, 2017

Organization subpart

No

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

Authorized official

Name

Curt Gray

Title

Owner

Phone

(801) 904-3243

Specialties & licenses 1

Addresses

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.

• Merikay Mitchell, CMHC

  • Mental Health Counselor
  • Salt Lake City, UT
  • NPI 1730523085
  NPD (past)

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871016840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5296 S COMMERCE DR STE 204",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075393",
            "telephone_number": "801-904-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5296 S COMMERCE DR STE 204",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075393",
            "telephone_number": "801-904-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKAWAY RECOVERY CENTER MURRAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "CURT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-904-3243"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer Braithwaite
• David Ware Branch, MD
• Sara Brandenburg, OTR/L
• Kelley A Brant
• Debra Brazzell
• Tyler Breeding
• Jill Susan Breinholt, CPC
• Breken Home Care LLC (Senior Helpers of Salt Lake)
• Joshua Richard Brenkmann, DPT
• Brent J Bowen M.D. P.C. (Brent J Bowen, M.D.)

• Substance Use Disorder Rehabilitation Clinic/Center in Murray, UT
• Providers in Murray, UT by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.