# YOUTH CARE OF UTAH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pine Ridge Academy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083767297
- **Authorized official:** MS. TRINA PACKARD (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (801) 572-6989

## Contact information

- **Practice address:** 12595 MINUTEMAN DR, DRAPER, UT 84020-9541
- **Practice address phone:** (801) 572-6989
- **Practice address fax:** (801) 572-8220
- **Mailing address:** PO BOX 909, DRAPER, UT 84020-0909
- **Mailing address phone:** (801) 572-6989
- **Mailing address fax:** (801) 572-8220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 12293, 12294, 12295 | UT | Yes |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 08/22/2020