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Pine Ridge Behavioral Health Llc
Mental Illness Community Based Residential Treatment Facility in Fairview, Utah
NPI 1366863185

Pine Ridge Behavioral Health Llc is a Mental Illness Community Based Residential Treatment Facility based in Fairview, UT. Pine Ridge Behavioral Health Llc practices in Fairview, UT. The NPI Number for Pine Ridge Behavioral Health Llc is 1366863185 and holds a License No. 21289 (Utah).

The current practice location address for Pine Ridge Behavioral Health Llc is 10380 East 22000 North, Fairview, UT and can be reached out via phone at 435-469-0342.

Location: 10380 East 22000 North, Fairview, UT, 84629
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366863185
Provider Name
Pine Ridge Behavioral Health Llc
Credential
Provider Entity Type
Organization
Address
10380 East 22000 North, Fairview, UT, 84629
Phone Number
435-469-0342
Fax Number
Provider Enumeration Date
12/20/2013
Last Update Date
07/20/2024
institution
Provider Business Practice Location Address Details
Address
10380 East 22000 North
City
Fairview
State
Utah
Zip
84629
Phone Number
435-469-0342
Fax Number
person
Provider Business Mailing Address Details
Address
10380 East 22000 North
City
Fairview
State
Utah
Zip
84629
Phone Number
435-469-0342
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
21289 (Utah)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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