NPI | 1275253734 |
---|---|
Doing Business As | LONE MESA |
Entity Type | Organization |
Authorized Contact | MELISSA MARSHALL Director, Billing & Collections 570-203-9222 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2022-09-02 |
Last Update Date | 2024-03-27 |