Mogollon Treatment Center
NPI #1245908763 in Payson, Arizona
Provider Information
- NPI Number
- 1245908763
- Entity Type
- Organization
- Organization Name
- Mogollon Treatment Center
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Aug 31, 2021
- Last Updated
- Nov 1, 2023
Practice Location
Authorized Official
- Name
- MR. TYRI NORMAN BLONDAL
- Title
- CHIEF OPERATIONS OFFICER
- Phone
- (602) 516-2414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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