Overview
Name: MOGOLLON TREATMENT CENTER
Specialty: Substance Use Disorder Rehabilitation Clinic/Center
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Ambulatory Health Care Facilities
Classification: Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder.
Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: MOGOLLON TREATMENT CENTER,306 W AERO DR,PAYSON,AZ,855415405,US
Mailing Address: MOGOLLON TREATMENT CENTER,306 W AERO DR,PAYSON,AZ,855415405,US
Contact #
Practice location phone #: 7149104286
Practice location fax #:
Mailing address Phone #: 7149104286
Mailing Address fax #:
Authorized official Name/Telephone #:TRACY, DIANE, HURLEY, PROGRAM DIRECTOR 7149104286
Misc
Date NPI was obtained: 08/31/2021
Last data data was updated: 08/31/2021
Insurances: