OrganizationActive
Deer Hollow Lakeside LLC
NPI 1487160875 · Substance Abuse Rehabilitation Facility · Brighton, UT
Provider details
- NPI number
- 1487160875
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Tina Romano, Director of Financial Operations(801) 759-1734
- License
- 53992 (UT)
Specialties & taxonomies
Residential Treatment Facilities
Residential Treatment Facilities
Residential Treatment Facilities
Practice location
7904 S Nordic Trail Ln
Brighton, UT 84121-1000
Phone: (801) 679-6669
Fax: (801) 203-9216
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1078
Draper, UT 84020-1078
Registry dates
- Enumerated
- 2017-12-20
- Last updated
- 2018-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.