OrganizationActive
Pine Ridge Behavioral Health LLC
NPI 1366863185 · Mental Illness Community Based Residential Treatment Facility · Fairview, UT
Provider details
- NPI number
- 1366863185
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- James Cheney, Owner(435) 469-0342
- License
- 21289 (UT)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
10380 East 22000 North
Fairview, UT 84629
Phone: (435) 469-0342
Approximate (ZIP-level) locationGet directions
Mailing address
10380 East 22000 North
Fairview, UT 84629
Registry dates
- Enumerated
- 2013-12-20
- Last updated
- 2024-06-18
- Certified
- 2024-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.