EAGLE RANCH OUTPATIENT SERVICES

ST GEORGE, UT
NPI1235682345
Entity TypeOrganization
Authorized ContactKELLY BAWDEN
Therapist/Director
435-922-0440
Organization Subpart ?Yes
Primary Taxonomy251S00000X 
(Licence: UT  5360626 3904)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT  53606266006)
101Y00000X Counselor
(Licence: UT  53606263904)
106H00000X Marriage & Family Therapist
(Licence: UT  53606263904)
Enumeration Date2016-07-26
Last Update Date2016-07-26
Business Address
EAGLE RANCH OUTPATIENT SERVICES
91 W 1470 S SUITE 101
ST GEORGE, UT 84770-6709
Phone number: 435-922-0440
Mailing Address
EAGLE RANCH OUTPATIENT SERVICES
91 W 1470 S SUITE 101
ST GEORGE, UT 84770-6709
Phone number: 435-922-0440