| NPI | 1891047296 |
|---|---|
| Doing Business As | MOUNTAIN HOME |
| Entity Type | Organization |
| Authorized Contact | CHRIS BANKEN Sr. Vice Prsident Of Operations 602-335-2095 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |