Organization · Type 2 NPI

Spirit Lake Ranch, LLC

Substance Abuse Rehabilitation Facility · Mona, UT

NPI number 1639506884 Active

Practice location

525 W 200 N
Mona, UT 84645

Call (435) 623-2825 Map

Fax (435) 623-2827

Mailing address

PO Box 533
Mona, UT 84645-0533

Specialties and licenses

Taxonomy	Code	License
Foster Care Agency	253J00000X	20208 (UT)
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed

Substance Abuse Rehabilitation Facility: 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.

17 other providers at this address

About NPI 1639506884

Spirit Lake Ranch, LLC's National Provider Identifier is 1639506884, issued on Oct 2, 2013. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Mona, UT. The record was last updated on Mar 29, 2017.