National Provider Identifier Database

RED PINE RTC
Substance Abuse Disorder 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.


Contact Information

RED PINE RTC
550 SOUTH 6777 EAST
FORT DUCHESNE, UT84026
Phone: 435-722-9906
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for RED PINE RTC

NPI Number 1124644430
Legal business name
LBN
RED PINE RTC
Authorized official JASON LAW - (CLINICAL DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 06/23/2020
Last updated 06/23/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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