Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mogollon Treatment Center

Organization Substance Abuse Rehabilitation Facility · NPI 1063225233

Mogollon Treatment Center is a Substance Abuse Rehabilitation Facility in Payson, Arizona. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

212 W Wade Ln
Payson, AZ 85541-4852
Phone: (928) 466-4242
Fax: (928) 474-7460
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X

Record details

NPI number1063225233
Entity typeOrganization (Type 2)
Organization subpartYes
Authorized official Tyri Blondal — Coo · (602) 516-2414
Other names Mogollon Residential
NPI enumeratedJanuary 30, 2025
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025
Mailing address306 W Aero Dr, Payson, AZ 85541-5405

Other providers in Payson