HISTORIC PINES YOUTH RANCH LLC

Psychiatric Residential Treatment Facility

NPI: 1023322492Organization

Specialties, Licenses & Credentials

Professional Counselor

Counselor — Professional

Code: 101YP2500X

Psychiatric Residential Treatment FacilityPrimary

Psychiatric Residential Treatment Facility

Code: 323P00000X

Contact & Hours

Address: 379 CHALICE DRIVE
WESTCLIFFE, CO 81252
Phone: (801) 735-5971

Quick Facts

NPI: 1023322492
Entity Type: Organization
Medicare: Not confirmed
Specialties: 2
Locations: 1

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