HISTORIC PINES YOUTH RANCH LLC

Psychiatric Residential Treatment Facility · WESTCLIFFE, CO

Organization Active NPI 1023322492

Taxonomy & licensure

Specialty	Code	Primary	License	State
Psychiatric Residential Treatment Facility	323P00000X	✓	—	—
Professional Counselor	101YP2500X		—	—

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.