Organization
MOONRIDGE ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALLIE BASSETT (OFFICE MANAGER)
(435) 586-9585
Entity
Organization
Contact information
Practice address
9450 W 2400 S, CEDAR CITY, UT 84720-6706
(435) 586-9585
Mailing address
9450 W 2400 S, CEDAR CITY, UT 84720-6706
(435) 586-9585
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/09/2007
Last updated
08/22/2020
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