Moonridge Academy
NPI #1164656815 in Cedar City, Utah
Provider Information
- NPI Number
- 1164656815
- Entity Type
- Organization
- Organization Name
- Moonridge Academy
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- May 11, 2009
- Last Updated
- May 11, 2009
Practice Location
- Address
- 9450 W 2400 S
- City
- Cedar City
- State
- Utah
- ZIP Code
- 84720-6706
- Phone
- (435) 586-9585
Authorized Official
- Name
- MS. TAWNY J DAVIS, L.C.S.W.
- Title
- EXECUTIVE DIRECTOR
- Phone
- (435) 890-9180
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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