CRYSTAL RECOVERY NPI 1912393000

NPI Information

  • NPI: 1912393000
  • Provider Name: CRYSTAL RECOVERY
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Address: 12894 S ELLERBECK LN
    DRAPER, UT
    ZIP 84020
  • Phone: (480) 443-0455

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NPI Details

CRYSTAL RECOVERY is a substance abuse rehabilitation facility in Draper, UT. The provider is 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. CRYSTAL RECOVERY NPI is 1912393000. The provider is registered as an organization entity type.

The provider's business location address is:

12894 S ELLERBECK LN
DRAPER, UT
ZIP 84020-127
Phone: (480) 443-0455

The provider's authorized official is James Cunningham .
The authorized official title is Owner and has the following contact phone number (480) 443-0455.

The enumeration date for this NPI number is 4/15/2015 and was last updated on 4/15/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation Facility11336UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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