Provider Demographics
NPI:1053152272
Name:DOMESTIC ABUSE RECOVERY SOLUTIONS INC
Entity type:Organization
Organization Name:DOMESTIC ABUSE RECOVERY SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:385-301-6258
Mailing Address - Street 1:PO BOX 1811
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84091-1811
Mailing Address - Country:US
Mailing Address - Phone:385-301-6258
Mailing Address - Fax:
Practice Address - Street 1:623 E 2100 S # B1
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84106-1827
Practice Address - Country:US
Practice Address - Phone:385-301-6258
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty