Organization
CASTLE RIDGE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONN JEFFS (OWNER)
(435) 381-4357
Entity
Organization
Contact information
Practice address
65 E 100 N, CASTLE DALE, UT 84513
(435) 381-4357
Mailing address
65 E 100 N, CASTLE DALE, UT 84513
(435) 381-4357
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
225X00000X
Occupational Therapist
—
—
225XE0001X
Environmental Modification Occupational Therapist
—
—
251B00000X
Case Management Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
01/06/2025
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