Whalio Doctors

NPI 1548500614

Falcon Ridge Ranch Non Profit Organization

Organisation Psychiatric Residential Treatment Facility Virgin, UT

Practice location

Address
633 E Hwy 9, Virgin, UT 84779
Phone
(435) 635-5260
Mailing address
PO Box 790099, Virgin, UT 84779-0099

Authorised official

Name
Brian Pace
Title
Executive Director
Phone
(435) 673-6111

Registered specialties (2)

Psychiatric Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 323P00000X Licence 20004 (UT)
Children's Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 3245S0500X Licence 20004 (UT)

Registry record

NPI
1548500614
Entity type
Organization
NPI issued
26 Feb 2013
Record last updated
24 Jun 2015

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.