1023322492 HISTORIC PINES YOUTH RANCH LLC

Psychiatric Residential Treatment Facility

Active

Basic Information

Organization Name
HISTORIC PINES YOUTH RANCH LLC
Enumeration Date
July 28, 2010
Last Update
July 28, 2010
Authorized Official
CHRISTY PECK KANE HMC
DIRECTOR
Phone: (702) 430-6206

Practice Location

Address
379 CHALICE DRIVE
WESTCLIFFE, CO 81252
Phone
(801) 735-5971
Fax
(775) 549-8800

Mailing Address

Address
PO BOX 311
WESTCLIFFE, CO 812520311
Phone
(801) 735-5971
Fax
(775) 549-8800

Specialties & Taxonomies

Specialty Code Classification License State Primary
Professional Counselor
Professional
101YP2500X Counselor N/A N/A No
Psychiatric Residential Treatment Facility
323P00000X Psychiatric Residential Treatment Facility N/A N/A Primary

Frequently Asked Questions

What is HISTORIC PINES YOUTH RANCH LLC's NPI number?
HISTORIC PINES YOUTH RANCH LLC's NPI number is 1023322492.
Which doctor has NPI number 1023322492?
The doctor with NPI number 1023322492 is HISTORIC PINES YOUTH RANCH LLC.
What is HISTORIC PINES YOUTH RANCH LLC's practice address?
HISTORIC PINES YOUTH RANCH LLC's practice address is 379 CHALICE DRIVE, WESTCLIFFE, CO, 81252.
Which doctor practices at 379 CHALICE DRIVE, WESTCLIFFE, CO, 81252?
HISTORIC PINES YOUTH RANCH LLC practices at 379 CHALICE DRIVE, WESTCLIFFE, CO, 81252.
What is HISTORIC PINES YOUTH RANCH LLC's mailing address?
HISTORIC PINES YOUTH RANCH LLC's mailing address is PO BOX 311, WESTCLIFFE, CO, 812520311.
What is HISTORIC PINES YOUTH RANCH LLC's phone number?
HISTORIC PINES YOUTH RANCH LLC's phone number is (801) 735-5971.
Who is (801) 735-5971?
(801) 735-5971 is the phone number for HISTORIC PINES YOUTH RANCH LLC.
What is HISTORIC PINES YOUTH RANCH LLC's specialty?
HISTORIC PINES YOUTH RANCH LLC's specialty is Psychiatric Residential Treatment Facility.
What type of doctor is HISTORIC PINES YOUTH RANCH LLC?
HISTORIC PINES YOUTH RANCH LLC is a Psychiatric Residential Treatment Facility.
Is HISTORIC PINES YOUTH RANCH LLC a Psychiatric Residential Treatment Facility?
Yes, HISTORIC PINES YOUTH RANCH LLC is a Psychiatric Residential Treatment Facility.
Is HISTORIC PINES YOUTH RANCH LLC still practicing?
Yes, HISTORIC PINES YOUTH RANCH LLC is currently practicing.
Is HISTORIC PINES YOUTH RANCH LLC accepting new patients?
HISTORIC PINES YOUTH RANCH LLC may be accepting new patients. Please call their office at (801) 735-5971 to inquire about availability.
Is NPI 1023322492 still active?
Yes, NPI 1023322492 is currently active.
Where does HISTORIC PINES YOUTH RANCH LLC practice?
HISTORIC PINES YOUTH RANCH LLC practices in WESTCLIFFE, CO.