NPI 1023322492

Historic Pines Youth Ranch LLC

Organisation Psychiatric Residential Treatment Facility Westcliffe, CO

Practice location

Address: 379 Chalice Drive, Westcliffe, CO 81252
Phone: (801) 735-5971
Fax: (775) 549-8800
Mailing address: PO Box 311, Westcliffe, CO 81252-0311

Authorised official

Name: Christy Peck Kane
Title: Director
Phone: (702) 430-6206

Registered specialties (2)

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X

Other Psychiatric Residential Treatment Facility providers in Colorado →

Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X

Other Counselor providers in Colorado →

Registry record

NPI: 1023322492
Entity type: Organization
NPI issued: 28 Jul 2010
Record last updated: 28 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.