| Organization Name: | BRIGHTON RECOVERY CENTER LLC |
| NPI Number: | 1245613009 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TYLER GODFREY (DIRECTOR) |
| Mailing Address: | 6000 S 1075 E South Ogden |
| State: | UT US |
| Postal Code: | 844054945 |
| Phone Number: | 8014797035 |
| Fax Number: | |
| NPI Enumeration Date: | 06/29/2015 |
| NPI Last Update Date: | 06/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |