Organization
MOUNTAIN RIDGE COUNSELING
Active
Organization
MOUNTAIN RIDGE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN TAYLOR (OWNER)
(602) 228-1108
Entity
Organization
Contact information
Practice address
17505 N 79TH AVE, SUITE 213-E, GLENDALE, AZ 85308-8725
(623) 695-4704
Mailing address
17505 N 79TH AVE, SUITE 213-E, GLENDALE, AZ 85308-8725
(623) 695-4704
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CSLG7595
AZ
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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