Mogollon Treatment Center
Mogollon Treatment Center is a Substance Abuse Rehabilitation Facility in Phoenix, Arizona. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
9417 N 17th PlPhoenix, AZ 85020-2310
Phone: (928) 466-4242
Fax: (928) 474-7460
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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 number | 1578482402 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dustin Bullard — Owner · (928) 466-4242 |
| NPI enumerated | July 14, 2026 |
| Last updated in NPPES | July 14, 2026 |
| Certification date | July 14, 2026 |
| Mailing address | 306 W Aero Dr, Payson, AZ 85541-5405 |
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