Organization
MOUNTAIN RIDGE COMPLETE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA GRIESHEIMER (COO)
(814) 243-0414
Entity
Organization
Contact information
Practice address
3159 CARPENTERS PARK RD, DAVIDSVILLE, PA 15928-9223
(814) 243-0414
(814) 479-5906
Mailing address
3159 CARPENTERS PARK RD, DAVIDSVILLE, PA 15928-9223
(814) 243-0414
(814) 479-5906
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QD0000X
Dental Clinic/Center
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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