OrganizationActive
Acqua Recovery LLC
NPI 1932595899 · Substance Use Disorder Rehabilitation Clinic/Center · Midway, UT
Provider details
- NPI number
- 1932595899
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Clint Tolman, Director(954) 678-0078
- License
- 13415 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Residential Treatment Facilities
Practice location
100 N Johnson Mill Rd
Midway, UT 84049-6764
Phone: (954) 678-0078
Approximate (ZIP-level) locationGet directions
Mailing address
1031 S Douglas St
Salt Lake City, UT 84105-1505
Registry dates
- Enumerated
- 2015-04-07
- Last updated
- 2015-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.