Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cedar Ridge, Inc

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1639400989

Cedar Ridge, Inc is an Emotionally Disturbed Childrens' Residential Treatment Facility in Roosevelt, Utah. Licensed in Utah. Registered with an NPI since 2010.

Licensed in
UT
In the registry since
2010
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

Rr 1 Box 1477
Roosevelt, UT 84066-9735
Phone: (435) 353-4498
Fax: (435) 353-4898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence 15264 (UT)
Emotionally Disturbed Childrens' Residential Treatment Facility Taxonomy 322D00000X · Licence 15263 (UT)

Record details

NPI number1639400989
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Nielson — Program Director · (435) 353-4498
NPI enumeratedJanuary 27, 2010
Last updated in NPPESJanuary 27, 2010
Mailing addressRr 1 Box 1477, Roosevelt, UT 84066-9735

Other providers in Roosevelt