Organization Name: | ALPINE TREATMENT SERVICES, LLC |
NPI Number: | 1912152299 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER A MAKIN (DIRECTOR OF PRIMARY CARE) |
Mailing Address: | 375 Rainbow Lane Midway |
State: | UT US |
Postal Code: | 84049 |
Phone Number: | 8014272757 |
Fax Number: | |
NPI Enumeration Date: | 11/30/2008 |
NPI Last Update Date: | 12/31/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | 14521 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | UT |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |