Organization
SPIRIT LAKE RANCH, LLC
Active
Organization
SPIRIT LAKE RANCH, LLC
Active
Parent organization
THE JOURNEY
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE JOURNEY
Authorized official
TYLER PATCHING (CEO)
(801) 615-0213
Entity
Organization
Contact information
Practice address
525 W 200 N, MONA, UT 84645
(435) 623-2825
(435) 623-2827
Mailing address
PO BOX 533, MONA, UT 84645-0533
(435) 623-2825
(435) 623-2827
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
20208
UT
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/02/2013
Last updated
03/29/2017
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