Organization · Type 2 NPI
Mogollon Treatment Center
Substance Abuse Rehabilitation Facility · Payson, AZ
NPI number
1063225233
Active
Practice location
212 W Wade Ln
Payson, AZ 85541-4852
Fax (928) 474-7460
Mailing address
306 W Aero Dr
Payson, AZ 85541-5405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Other substance abuse rehabilitation facility providers in Payson
About NPI 1063225233
Mogollon Treatment Center's National Provider Identifier is 1063225233, issued on Jan 30, 2025. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Payson, AZ. The record was last updated on Jan 30, 2025.