# FALCON RIDGE RANCH NON PROFIT ORGANIZATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548500614
- **Authorized official:** MR. BRIAN PACE MA ED, MC (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (435) 673-6111

## Contact information

- **Practice address:** 633 E HWY 9, VIRGIN, UT 84779
- **Practice address phone:** (435) 635-5260
- **Mailing address:** PO BOX 790099, VIRGIN, UT 84779-0099
- **Mailing address phone:** (435) 635-5260
- **Mailing address fax:** (435) 673-0994

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 20004 | UT | Yes |
| 3245S0500X | Children's Substance Abuse Rehabilitation Facility | 20004 | UT | — |

## Other

- **Enumeration date:** 02/26/2013
- **Last updated:** 06/24/2015