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Spirit Lake Ranch, Llc
Substance Abuse Rehabilitation Facility in Mona, Utah
NPI 1639506884

Spirit Lake Ranch, Llc is a Substance Abuse Rehabilitation Facility based in Mona, UT. Spirit Lake Ranch, Llc practices in Mona, UT. The NPI Number for Spirit Lake Ranch, Llc is 1639506884 and holds a License No. 20208 (Utah).

The current practice location address for Spirit Lake Ranch, Llc is 525 W 200 N, Mona, UT and can be reached out via phone at 435-623-2825 and via fax at 435-623-2827.

Location: 525 W 200 N, Mona, UT, 84645-0533
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639506884
Provider Name
Spirit Lake Ranch, Llc
Credential
Provider Entity Type
Organization
Address
525 W 200 N, Mona, UT, 84645-0533
Phone Number
435-623-2825
Fax Number
435-623-2827
Provider Enumeration Date
10/02/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
525 W 200 N
City
Mona
State
Utah
Zip
84645
Phone Number
435-623-2825
Fax Number
435-623-2827
person
Provider Business Mailing Address Details
Address
525 W 200 N
City
Mona
State
Utah
Zip
84645
Phone Number
435-623-2825
Fax Number
435-623-2827
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Foster Care Agency
Speciality
-
Taxonomy
253J00000X
License No.
()
Definition
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
20208 (Utah)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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