Organization
FALCON RIDGE RANCH NON PROFIT ORGANIZATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN PACE MA ED, MC (EXECUTIVE DIRECTOR)
(435) 673-6111
Entity
Organization
Contact information
Practice address
633 E HWY 9, VIRGIN, UT 84779
(435) 635-5260
Mailing address
PO BOX 790099, VIRGIN, UT 84779-0099
(435) 635-5260
(435) 673-0994
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
20004
UT
3245S0500X
Children's Substance Abuse Rehabilitation Facility
20004
UT
Other
Enumeration date
02/26/2013
Last updated
06/24/2015
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