Organization
BLUE CHERRIES LLC
Active
Other names
White Pine Boys Ranch
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTY P KANE (DIRECTOR)
(801) 735-5971
Entity
Organization
Contact information
Practice address
6479 WEST 317 NORTH, LUND, NV 89317-0235
(702) 430-6206
(801) 763-1852
Mailing address
PO BOX 235, LUND, NV 89317-0235
(702) 430-6206
(801) 756-1862
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4790345-6004
UT
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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