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Residential Treatment Facilities Substance Abuse Rehabilitation Facility

Provider NPI: 1750522405

Organization Information:
Organization Name:  EAGLE QUEST, LLC
Organization is not Subpart
Authorized Official:  DAVID S. ARSLANIAN  MANAGER/MEMBER  801-698-7095

Practice Location:
205 S MAIN ST  NEPHI, UT 84648-1711 US
Tel: 435-623-1822  Fax: 435-623-1826

Business Mailing Address:
4063 ROSS DR  OGDEN, UT 84403-3227 US
Tel: 801-698-7095  Fax: --

NPI Information:
NPI: 1750522405
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Y324500000XResidential Treatment Facilities
Substance Abuse Rehabilitation Facility

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 324500000X





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