Organization
RED PINE RTC
Active
Parent organization
UTE INDIAN TRIBE
Other names
Red Pine RTC
Organization subpart
Yes
Provider details
NPI number
Legal business name
UTE INDIAN TRIBE
Authorized official
JASON LAW LCSW (CLINICAL DIRECTOR)
(435) 725-2831
Entity
Organization
Contact information
Practice address
550 SOUTH 6777 EAST, FORT DUCHESNE, UT 84026
(435) 722-9906
Mailing address
PO BOX 309, FORT DUCHESNE, UT 84026-0309
(435) 725-2831
(435) 722-4690
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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