OrganizationActive
Awakening Behavioral Health, LLC
NPI 1962947101 · Recovery Care Clinic/Center · Sandy, UT
Provider details
- NPI number
- 1962947101
- Entity type
- Organization
- Primary specialty
- Recovery Care Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Awakening Behavioral Health, LLC
- Authorized official
- Kerrylynn Baca-Pelphrey, Cco, Exec Dir Payor Relations
- License
- 37088 (UT)
Mailing address
2973 W 13800 S
Bluffdale, UT 84065
Registry dates
- Enumerated
- 2016-12-26
- Last updated
- 2023-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.