Mogollon Treatment Center
NPI #1831053081 in Payson, Arizona
Provider Information
- NPI Number
- 1831053081
- Entity Type
- Organization
- Organization Name
- Mogollon Treatment Center
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Dec 12, 2025
- Last Updated
- Dec 12, 2025
Practice Location
Authorized Official
- Name
- DUSTIN HERACLES BULLARD
- Title
- OWNER
- Phone
- (928) 466-4242
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