Organization · Type 2 NPI
Pine Ridge Behavioral Health LLC
Mental Illness Community Based Residential Treatment Facility · Fairview, UT
NPI number
1366863185
Active
Practice location
10380 East 22000 North
Fairview, UT 84629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 21289 (UT) |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
About NPI 1366863185
Pine Ridge Behavioral Health LLC's National Provider Identifier is 1366863185, issued on Dec 20, 2013. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Fairview, UT. The record was last updated on Jun 18, 2024.