Castle Ridge Behavioral Health, Llc | |
55 E 100 N Castle Dale UT 84513-8451 | |
(435) 749-5425 | |
Not Available |
Full Name | Castle Ridge Behavioral Health, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 55 E 100 N, Castle Dale, Utah |
Authorized Official Name and Position | Donn Vee Jeffs (DIRECTOR) |
Authorized Official Contact | 4357491484 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Castle Ridge Behavioral Health, Llc Po Box 263 Castle Dale UT 84513-0263 Ph: (435) 749-5425 | Castle Ridge Behavioral Health, Llc 55 E 100 N Castle Dale UT 84513-8451 Ph: (435) 749-5425 |
NPI Number | 1114620051 |
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Provider Enumeration Date | 03/22/2023 |
Last Update Date | 03/22/2023 |
Certification Date | 03/20/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114620051 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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