Organization
MORIAH BEHAVIORAL HEALTH CO.
Active
Other names
Ignite Teen Treatment - Paseo - MA
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MARSHALL (DIRECTOR, BILLING & COLLECTIONS)
(570) 203-9222
Entity
Organization
Contact information
Practice address
2330 PASEO DEL PRADO STE C105, LAS VEGAS, NV 89102-4336
(570) 203-9222
Mailing address
512 NORTHAMPTON ST # 158, EDWARDSVILLE, PA 18704-4560
(570) 203-9222
(570) 203-9477
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
08/30/2022
Last updated
03/27/2024
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