NPI 1083107320
Red Circle Lodge, INC
Practice location
- Address
- 930 N Memorial St, Hildale, UT 84784
- Phone
- (435) 874-1467
- Mailing address
- 930 N Memorial St #1670, Hildale, UT 84784
Authorised official
- Name
- Lane Shepherd
- Title
- Clinical Director
- Phone
- (435) 229-9437
Registered specialties (2)
Children's Substance Abuse Rehabilitation Facility
Primary
Emotionally Disturbed Childrens' Residential Treatment Facility
Registry record
- NPI
- 1083107320
- Entity type
- Organization
- NPI issued
- 12 Jun 2018
- Record last updated
- 12 Jun 2018
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.