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Organization
FALCON RIDGE RANCH NON PROFIT ORGANIZATION
Active
Organization
FALCON RIDGE RANCH NON PROFIT ORGANIZATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN PACE MA ED, MC (EXECUTIVE DIRECTOR)
(435) 673-6111
Entity
Organization
Contact information
Practice address
633 E HWY 9, VIRGIN, UT 84779
(435) 635-5260
Mailing address
PO BOX 790099, VIRGIN, UT 84779-0099
(435) 635-5260
(435) 673-0994
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
20004
UT
3245S0500X
Children's Substance Abuse Rehabilitation Facility
20004
UT
Other
Enumeration date
02/26/2013
Last updated
06/24/2015
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