IndividualActive
Bruce Lee
NPI 1134518210 · Substance Abuse Rehabilitation Facility · Salt Lake City, UT
Provider details
- NPI number
- 1134518210
- Entity type
- Individual
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
344 E 100 S Ste 301
Salt Lake City, UT 84111-1727
Phone: (801) 322-4257
Approximate (ZIP-level) locationGet directions
Mailing address
344 East 100 South Ste.301
Slc, UT 84111
Registry dates
- Enumerated
- 2015-01-13
- Last updated
- 2015-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.