# ASPEN RANCH

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

## Provider details

- **NPI number:** 1649482241
- **Authorized official:** BONNIE BROWN (OFFICE MANAGER)
- **Authorized official phone:** (435) 836-2472

## Contact information

- **Practice address:** 2000 W. DRY VALLEY, LOA, UT 84747
- **Practice address phone:** (435) 836-2472
- **Mailing address:** 2000 W. DRY VALLEY, LOA, UT 84747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 07/10/2007