Historic Pines Youth Ranch Llc

LBN: Historic Pines Youth Ranch Llc
Historic Pines Youth Ranch Llc is an health care organization with primary practice located at 379 Chalice Drive , Westcliffe CO 81252. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Residential Treatment Facilities / Psychiatric Residential Treatment Facility. Residential Treatment Facilities / Psychiatric Residential Treatment Facility is the primary health care specialty. Historic Pines Youth Ranch Llc can be contacted via phone (801) 735-5971, or through Kane, Christy Peck via phone (702) 430-6206.

Contact Information

Primary practice address
379 Chalice Drive Westcliffe CO 81252
Phone: (801) 735-5971
Fax: (775) 549-8800
Website:
Map and Directions
Authorized official contact:
Name: Kane, Christy Peck HMC
Phone: (702) 430-6206

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X

Profile Details

NPI number 1023322492
LBN Legal business name Historic Pines Youth Ranch Llc
DBA Doing business as
Authorized official Kane, Christy Peck HMC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2010
Last updated Jul 28th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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