MOGOLLON TREATMENT CENTER is a substance abuse rehabilitation facility in Phoenix, AZ. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. MOGOLLON TREATMENT CENTER NPI is 1750160511. The provider is registered as an organization entity type.
The provider's business location address is:
5402 E THOMAS RD
PHOENIX, AZ
ZIP 85018-107
Phone: (602) 516-2414
The provider's authorized official is Tyri Norman Blondal .
The authorized official title is Chief Operations Officer and has the following contact phone number (602) 516-2414.
The CLIA number assigned to this NPI record is 03D2285971 - other - treatment center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/21/2023 and was last updated on 9/21/2023.