OrganizationActive
Brc Outpatient LLC
NPI 1194260810 · Substance Abuse Rehabilitation Facility · Salt Lake City, UT
Provider details
- NPI number
- 1194260810
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jonathan Saul, Executive Director(801) 849-0453
Specialties & taxonomies
Residential Treatment Facilities
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
4905 S 900 E
Salt Lake City, UT 84117-5703
Phone: (801) 869-1095
Fax: (801) 869-1096
Approximate (ZIP-level) locationGet directions
Mailing address
1265 E Fort Union Blvd Ste 140
Midvale, UT 84047-1808
Registry dates
- Enumerated
- 2017-01-04
- Last updated
- 2026-05-05
- Certified
- 2026-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.