| NPI | 1891235701 |
|---|---|
| Former Legal Business Name | FALCON RIDGE RANCH |
| Entity Type | Organization |
| Authorized Contact | AMANDA NELSON Therapist 435-635-5260 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: UT 84001266004) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |