Mountaintop LLC

NPI #1811707797 in Hayden, Idaho

Provider Information

NPI Number: 1811707797
Entity Type: Organization
Organization Name: Mountaintop LLC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Jan 13, 2025
Last Updated: Jan 13, 2025

Practice Location

Address: 9890 N HILLVIEW DR
City: Hayden
State: Idaho
ZIP Code: 83835-9508
Phone: (208) 518-3868

Authorized Official

Name: JASON THOMAS UNDERDAHL, BS
Title: CHIEF ADMINISTRATIVE OFFICER
Phone: (208) 262-1885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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