# SEQUEL YOUTH SERVICES OF FALCON RIDGE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CARE YOUTH CORPORATION
- **Other names:** Falcon Ridge Ranch
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1851831333
- **Legal business name:** CARE YOUTH CORPORATION
- **Authorized official:** MS. JENNEIL ANNE GROSS-KRIEVER CSW (THERAPIST)
- **Authorized official phone:** (435) 635-5260

## Contact information

- **Practice address:** 750 E SR 9, VIRGIN, UT 84779-7726
- **Practice address phone:** (435) 635-5260
- **Practice address fax:** (435) 635-5327
- **Mailing address:** 750 E SR 9, VIRGIN, UT 84779-7726
- **Mailing address phone:** (435) 635-5260
- **Mailing address fax:** (435) 635-5327

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 8991595-3502 | UT | Yes |

## Other

- **Enumeration date:** 03/02/2017
- **Last updated:** 03/02/2017