Organization
MOUNTAIN RIDGE BEHAVIORAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMMER SIMMONS (PRACTICE MANAGER)
(385) 482-3688
Entity
Organization
Contact information
Practice address
704 S 1600 W STE 104, MAPLETON, UT 84664-4462
(801) 491-6394
(801) 491-6613
Mailing address
704 S 1600 W STE 104, MAPLETON, UT 84664-4462
(801) 491-6394
(801) 491-6613
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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