# REMUDA RANCH CENTER FOR EATING DISORDERS EAST, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** REMUDA RANCH HOLDING COMPANY
- **Other names:** Remuda Life Program
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912152356
- **Legal business name:** REMUDA RANCH HOLDING COMPANY
- **Authorized official:** MS. JULIE KESTNER (CFO / SR. VP)
- **Authorized official phone:** (928) 684-3913

## Contact information

- **Practice address:** 124 NORTH MAIN STREET, BOWLING GREEN, VA 22427
- **Practice address phone:** (804) 632-1090
- **Mailing address:** 1 E APACHE ST, WICKENBURG, AZ 85390-2442
- **Mailing address phone:** (804) 632-1090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 935-02-019 | VA | Yes |

## Other

- **Enumeration date:** 11/26/2008
- **Last updated:** 11/26/2008