Cedar Ridge, Inc.

NPI #1639400989 in Roosevelt, Utah

Provider Information

NPI Number: 1639400989
Entity Type: Organization
Organization Name: Cedar Ridge, Inc.
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Jan 27, 2010
Last Updated: Jan 27, 2010

Practice Location

Address: RR 1 BOX 1477
City: Roosevelt
State: Utah
ZIP Code: 84066-9735
Phone: (435) 353-4498

Authorized Official

Name: MR. ROBERT NIELSON, M.S., LMFT
Title: PROGRAM DIRECTOR
Phone: (435) 353-4498

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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