OrganizationActive
Spirit Lake Ranch, LLC
NPI 1639506884 · Substance Abuse Rehabilitation Facility · Mona, UT
Provider details
- NPI number
- 1639506884
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Parent organization
- The Journey
- Organization subpart
- Yes
- Authorized official
- Tyler Patching, Ceo(801) 615-0213
- License
- 20208 (UT)
Specialties & taxonomies
Residential Treatment Facilities
Agencies
Practice location
525 W 200 N
Mona, UT 84645
Phone: (435) 623-2825
Fax: (435) 623-2827
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 533
Mona, UT 84645-0533
Registry dates
- Enumerated
- 2013-10-02
- Last updated
- 2017-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.