Thistle Creek Ranch
NPI #1356772537 in Spanish Fork, Utah
Provider Information
- NPI Number
- 1356772537
- Entity Type
- Organization
- Organization Name
- Thistle Creek Ranch
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Dec 12, 2013
- Last Updated
- Dec 12, 2013
Practice Location
- Address
- 14048 SOUTH HIGHWAY 89
- City
- Spanish Fork
- State
- Utah
- ZIP Code
- 84660
- Phone
- (801) 873-3199
Authorized Official
- Name
- SETH RIDDLE, M.D.
- Title
- OWNER
- Phone
- (801) 362-4900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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