NPI 1366863185

Pine Ridge Behavioral Health LLC

Organisation Mental Illness Community Based Residential Treatment Facility Fairview, UT

Practice location

Address: 10380 East 22000 North, Fairview, UT 84629
Phone: (435) 469-0342

Authorised official

Name: James R Cheney
Title: Owner
Phone: (435) 469-0342

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 21289 (UT)

Other Community Based Residential Treatment Facility, Mental Illness providers in Utah →

Registry record

NPI: 1366863185
Entity type: Organization
NPI issued: 20 Dec 2013
Record last updated: 18 Jun 2024

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.