National Provider Identifier Database

PINE RIDGE BEHAVIORAL HEALTH LLC
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.


Contact Information

PINE RIDGE BEHAVIORAL HEALTH LLC
10380 EAST 22000 NORTH
FAIRVIEW, UT84629
Phone: 435-469-0342
Fax:
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Mental Illness 320800000X

* Indicates primary specialty

NPI Profile & details for PINE RIDGE BEHAVIORAL HEALTH LLC

NPI Number 1366863185
Legal business name
LBN
PINE RIDGE BEHAVIORAL HEALTH LLC
Authorized official JAMES CHENEY - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/20/2013
Last updated 06/18/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 21289

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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