Canyon River Ranch

NPI #1932646148 in Ogden, Utah

Provider Information

NPI Number: 1932646148
Entity Type: Organization
Organization Name: Canyon River Ranch
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Jan 25, 2017
Last Updated: Jan 25, 2017

Practice Location

Address: 244 OGDEN CYN
City: Ogden
State: Utah
ZIP Code: 84401-0958
Phone: (801) 695-1016

Authorized Official

Name: MR. ALLAN DAVID FALLS
Title: PROGRAM DIRECTOR
Phone: (801) 695-1016

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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