| Rising Summits | |
|
11293 S Morning Tide Ln South Jordan UT 84009-5022 | |
| (801) 898-0842 | |
| Not Available |
| Full Name | Rising Summits |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11293 S Morning Tide Ln, South Jordan, Utah |
| Authorized Official Name and Position | Emily Diana Capito (OWNER) |
| Authorized Official Contact | 8018980842 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Summits 5526 W 13400 S # 331 Herriman UT 84096-6919 Ph: (801) 898-0842 | Rising Summits 11293 S Morning Tide Ln South Jordan UT 84009-5022 Ph: (801) 898-0842 |
| NPI Number | 1033744776 |
|---|---|
| Provider Enumeration Date | 03/03/2020 |
| Last Update Date | 03/03/2020 |
| Certification Date | 03/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033744776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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