Red Pine Rtc
NPI #1124644430 in Fort Duchesne, Utah
Provider Information
- NPI Number
- 1124644430
- Entity Type
- Organization
- Organization Name
- Red Pine Rtc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- UTE INDIAN TRIBE
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jun 23, 2020
- Last Updated
- Jun 23, 2020
Practice Location
- Address
- 550 SOUTH 6777 EAST
- City
- Fort Duchesne
- State
- Utah
- ZIP Code
- 84026
- Phone
- (435) 722-9906
Authorized Official
- Name
- JASON LAW, LCSW
- Title
- CLINICAL DIRECTOR
- Phone
- (435) 725-2831
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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