Organization Name: | ACTION RECOVERY GROUP, INC. |
NPI Number: | 1386913895 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD J. VISSER (PRESIDENT) |
Mailing Address: | 1708 E 5550 S Ste 23 South Ogden |
State: | UT US |
Postal Code: | 844037038 |
Phone Number: | 8014754673 |
Fax Number: | 8014365535 |
NPI Enumeration Date: | 12/29/2011 |
NPI Last Update Date: | 12/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | 18771 |
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: |