Organization
SEQUEL YOUTH SERVICES OF FALCON RIDGE
Active
Parent organization
CARE YOUTH CORPORATION
Other names
Falcon Ridge Ranch
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARE YOUTH CORPORATION
Authorized official
MS. JENNEIL ANNE GROSS-KRIEVER CSW (THERAPIST)
(435) 635-5260
Entity
Organization
Contact information
Practice address
750 E SR 9, VIRGIN, UT 84779-7726
(435) 635-5260
(435) 635-5327
Mailing address
750 E SR 9, VIRGIN, UT 84779-7726
(435) 635-5260
(435) 635-5327
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
8991595-3502
UT
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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