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CRYSTAL RECOVERY
NPI 1912393000
Substance Abuse Rehabilitation Facility in Draper, UT

Active since April 15, 2015
12894 S ELLERBECK LN, DRAPER, UT 84020(480) 443-0455 Get Directions Write a Review

NPPES record last updated: April 15, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crystal Recovery NPPES

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

CRYSTAL RECOVERY (NPI 1912393000) is a healthcare organization registered as a substance abuse rehabilitation facility in Draper, Utah and active in the NPI registry since April 2015. The organization lists James Cunningham, Owner, as its authorized official.

NPPES Registry Identity

NPI1912393000
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameCRYSTAL RECOVERY
Location Address12894 S ELLERBECK LNDraper, UT 84020-7127
Mailing Address12894 S Ellerbeck LnDraper, UT 84020-7127
Phone(480) 443-0455
Organization SubpartNo
Authorized OfficialJames CunninghamOwner · (480) 443-0455
Enumeration DateApril 15, 2015
✔ NPI 1912393000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in UT · 11336
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
12894 S ELLERBECK LN, Draper, UT 84020
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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 Crystal Recovery's NPI number?

The NPI number for Crystal Recovery is 1912393000. It was assigned to this organization in the NPPES registry on April 15, 2015.

Where is Crystal Recovery located?

Crystal Recovery is located at 12894 S Ellerbeck Ln, Draper, UT 84020. The listed phone number is (480) 443-0455.

What is Crystal Recovery's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Crystal Recovery was last updated on April 15, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.