Mogollon Treatment Center
NPI #1063225233 in Payson, Arizona
Provider Information
- NPI Number
- 1063225233
- Entity Type
- Organization
- Organization Name
- Mogollon Treatment Center
- Subpart
- Yes (part of a larger organization)
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jan 30, 2025
- Last Updated
- Jan 30, 2025
Practice Location
Authorized Official
- Name
- TYRI NORMAN BLONDAL, LMSW
- Title
- COO
- Phone
- (602) 516-2414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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