Organization · Type 2 NPI

Mountains Edge Recovery Center LLC

Substance Use Disorder Rehabilitation Clinic/Center · Union Dale, PA

NPI number 1386201713 Active

Practice location

310 Sugar Hill Rd
Union Dale, PA 18470-7397

Fax (772) 252-1235

Specialties and licenses

Taxonomy	Code	License
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	None listed
Substance Abuse Rehabilitation Facility	324500000X	None listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

NPI record

NPI: 1386201713
Entity type: Organization (Type 2)
Issued: May 21, 2019
Last updated: Sep 23, 2024
Status: Active

Other names

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Mountains Edge Recovery Center · doing business as
Mountains Edge Recovery Center · doing business as

Authorized official

Christopher Hall
CFO
(772) 777-0467

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About NPI 1386201713

Mountains Edge Recovery Center LLC's National Provider Identifier is 1386201713, issued on May 21, 2019. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Union Dale, PA. The record was last updated on Sep 23, 2024.