NPI | 1811707797 |
---|---|
Other Name | MOUNTAINTOP BEHAVIOR HEALTH |
Entity Type | Organization |
Authorized Contact | JASON THOMAS UNDERDAHL Chief Administrative Officer 208-262-1885 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2025-01-13 |
Last Update Date | 2025-01-13 |