Aspen Ranch

NPI #1649482241 in Loa, Utah

Provider Information

NPI Number: 1649482241
Entity Type: Organization
Organization Name: Aspen Ranch
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: May 4, 2007
Last Updated: Jul 10, 2007

Practice Location

Address: 2000 W. DRY VALLEY
City: Loa
State: Utah
ZIP Code: 84747
Phone: (435) 836-2472

Authorized Official

Name: BONNIE BROWN
Title: OFFICE MANAGER
Phone: (435) 836-2472

Specialties & Taxonomy Codes

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

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