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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