Provider Demographics
NPI:1194040501
Name:RECOVERY WAYS, LLC
Entity Type:Organization
Organization Name:RECOVERY WAYS, LLC
Other - Org Name:RECOVERY WAYS MOUNTAIN VIEW CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARYANN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENTHAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-293-6100
Mailing Address - Street 1:2815 E 3300 S
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84109-2820
Mailing Address - Country:US
Mailing Address - Phone:801-293-6100
Mailing Address - Fax:
Practice Address - Street 1:4883 S BOX ELDER ST
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-4730
Practice Address - Country:US
Practice Address - Phone:801-747-1800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-30
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility