1. Home
  2. Directory
  3. Utah
  4. Salt Lake City
  5. Clinic Center
  6. NPI Profile

METAMORPHOSIS SALT LAKE CITY, INC.
NPI 1346495298
Clinic/Center - Methadone in Salt Lake City, UT

Active since November 19, 2008
339 E 3900 S, SUITE 101, SALT LAKE CITY, UT 84107(801) 261-5790 Get Directions Write a Review

NPPES record last updated: November 19, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Metamorphosis Salt Lake City, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

METAMORPHOSIS SALT LAKE CITY, INC. (NPI 1346495298) is a healthcare organization registered as a methadone in Salt Lake City, Utah and active in the NPI registry since November 2008. The organization lists Jerry Costley, Chief Operating Office, as its authorized official.

NPPES Registry Identity

NPI1346495298
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameMETAMORPHOSIS SALT LAKE CITY, INC.
Location Address339 E 3900 S, SUITE 101Salt Lake City, UT 84107-1677
Mailing Address339 E 3900 S, Suite 101Salt Lake City, UT 84107-1677 · (801) 261-5790
Phone(801) 261-5790
Organization SubpartNo
Authorized OfficialJerry CostleyChief Operating Office · (801) 261-5790
Enumeration DateNovember 19, 2008
✔ NPI 1346495298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
License✔ Licensed in UT · 5863251-8913
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
339 E 3900 S, Salt Lake City, UT 84107
Open in Google Maps ↗

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. LUCAS N HENDRICKS
Pharmacy Technician
339 E 3900 S
SALT LAKE CITY, UT 84107
Salt Lake County (801) 350-1674
DE NOVO SERVICES LLC
Pharmacy (Institutional Pharmacy)
339 E 3900 S, SUITE 155
SALT LAKE CITY, UT 84107
Salt Lake County (801) 263-1056
HOLLY ANN KEPAS ACMHC
Counselor (Mental Health)
339 E 3900 S
SALT LAKE CITY, UT 84107
Salt Lake County (801) 341-9448
COLD FRONT PHARMACY
Pharmacy
339 E 3900 S, SUITE 150
SALT LAKE CITY, UT 84107
Salt Lake County (801) 350-1674
FUTURE RISING AGENCY
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
339 E 3900 S, SUITE 150
SALT LAKE CITY, UT 84107
Salt Lake County (801) 889-5703

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Metamorphosis Salt Lake City, Inc.'s NPI number?

The NPI number for Metamorphosis Salt Lake City, Inc. is 1346495298. It was assigned to this organization in the NPPES registry on November 19, 2008.

Where is Metamorphosis Salt Lake City, Inc. located?

Metamorphosis Salt Lake City, Inc. is located at 339 E 3900 S Suite 101, Salt Lake City, UT 84107. The listed phone number is (801) 261-5790.

What is Metamorphosis Salt Lake City, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

When was this NPI record last updated?

The NPPES record for Metamorphosis Salt Lake City, Inc. was last updated on November 19, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.