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 |