National Provider Identifier Database

HIGH TOP RANCH SCHOOL
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

HIGH TOP RANCH SCHOOL
2860 S. HWY 62
KOOSHAREM, UT84744
Phone: 435-638-7411
Fax: 435-638-7511
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Mental Illness 320800000X

* Indicates primary specialty

NPI Profile & details for HIGH TOP RANCH SCHOOL

NPI Number 1447287669
Legal business name
LBN
HIGH TOP RANCH SCHOOL
Authorized official JUSTIN SORENSON - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 06/26/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 11645
  • UT Medicaid: 788007789164

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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