Crystal Recovery

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

11336 Issued in UT

Legal business name

CRYSTAL RECOVERY

Practice address

12894 S Ellerbeck LN
Draper, UT 84020-7127

Phone

(480) 443-0455

NPI assigned

Apr 15, 2015

Organization subpart

No

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

Authorized official

Name

James Cunningham

Title

Owner

Phone

(480) 443-0455

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1912393000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12894 S ELLERBECK LN",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12894 S ELLERBECK LN",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207127",
            "telephone_number": "480-443-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-15",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-443-0455"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "UT",
            "license": "11336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Cross
• Sarah Crossley
• Jellydean Crowell
• Bryanne Crump, AU.D., CCC-A
• Janell Cruze
• Courtney Cudmore
• Alaina Cullison
• Alicia Jo Curtis
• Justin Curtis, APRN-CRNA
• McKinnlee Curtis

• Substance Abuse Rehabilitation Facility in Draper, UT
• Providers in Draper, 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 Apr 15, 2015; 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.