| 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 |