Organization
THREE PEAKS ASCENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN DEMILLE PHD, LCMHC (EXECUTIVE DIRECTOR)
(801) 491-2270
Entity
Organization
Contact information
Practice address
21185 N PINE VALLEY RD, BERYL, UT 84714
(801) 491-2270
Mailing address
757 S MAIN ST, SPRINGVILLE, UT 84663-2452
(801) 491-2270
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
05/02/2024
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