# MORIAH BEHAVIORAL HEALTH CO.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Ignite Teen Treatment - Romo
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629797154
- **Authorized official:** MELISSA MARSHALL (DIRECTOR, BILLING & COLLECTIONS)
- **Authorized official phone:** (570) 203-9222

## Contact information

- **Practice address:** 2761 FAMILY CT, LAS VEGAS, NV 89117-2601
- **Practice address phone:** (725) 272-0330
- **Mailing address:** 512 NORTHAMPTON ST \# 158, EDWARDSVILLE, PA 18704-4560
- **Mailing address phone:** (570) 203-9222
- **Mailing address fax:** (570) 203-9477

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | — | NULL | — |

## Other

- **Enumeration date:** 08/26/2022
- **Last updated:** 03/27/2024