Provider Demographics
NPI:1568813996
Name:NEW U RECOVERY LLC
Entity Type:Organization
Organization Name:NEW U RECOVERY LLC
Other - Org Name:NEW U RECOVERYLLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:STAFFORD
Authorized Official - Suffix:
Authorized Official - Credentials:SUDC, LPP
Authorized Official - Phone:801-574-8765
Mailing Address - Street 1:76 E 7570 S
Mailing Address - Street 2:
Mailing Address - City:MIDVALE
Mailing Address - State:UT
Mailing Address - Zip Code:84047-2633
Mailing Address - Country:US
Mailing Address - Phone:801-574-8765
Mailing Address - Fax:
Practice Address - Street 1:76 E 7570 S
Practice Address - Street 2:
Practice Address - City:MIDVALE
Practice Address - State:UT
Practice Address - Zip Code:84047-2633
Practice Address - Country:US
Practice Address - Phone:801-574-8765
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-27
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT63009866006251S00000X
UT63009865001251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT013309154OtherDRIVERS LICENSE