Organization
YOUTH CARE OF UTAH, INC.
Active
Other names
Pine Ridge Academy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRINA PACKARD (EXECUTIVE DIRECTOR)
(801) 572-6989
Entity
Organization
Contact information
Practice address
12595 MINUTEMAN DR, DRAPER, UT 84020-9541
(801) 572-6989
(801) 572-8220
Mailing address
PO BOX 909, DRAPER, UT 84020-0909
(801) 572-6989
(801) 572-8220
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
12293, 12294, 12295
UT
Other
Enumeration date
01/19/2007
Last updated
08/22/2020
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