NPI 1164656815

Moonridge Academy

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Cedar City, UT

Practice location

Address: 9450 W 2400 S, Cedar City, UT 84720-6706
Phone: (435) 586-9585
Fax: (435) 586-4489
Mailing address: 9450 W 2400 S P.O. Box 1067, Cedar City, UT 84720-6706

Authorised official

Name: Tawny J Davis
Title: Executive Director
Phone: (435) 890-9180

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 12809 (UT)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Utah →

Registry record

NPI: 1164656815
Entity type: Organization
NPI issued: 11 May 2009
Record last updated: 11 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.