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EAGLE RANCH ACADEMY NPI 1003014648


NPI Information

NPI: 1003014648
Provider Name: EAGLE RANCH ACADEMY
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
115 W 1470 S
ST GEORGE, UT
ZIP 84770
Phone: (435) 652-8488
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EAGLE RANCH ACADEMY is a substance abuse treatment and children substance abuse rehabilitation facility in St George, UT. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. EAGLE RANCH ACADEMY NPI is 1003014648. The provider is registered as an organization entity type.

The provider's business location address is:

115 W 1470 S
ST GEORGE, UT
ZIP 84770-763
Phone: (435) 652-8488
Fax: (435) 652-9959

The provider's authorized official is Paul Arslanian .
The authorized official title is Director and has the following contact phone number (435) 652-8488.

The enumeration date for this NPI number is 7/5/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children12753UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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