Organization
MOUNTAINS EDGE RECOVERY CENTER LLC
Active
Other names
Mountains Edge Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER HALL (CFO)
(772) 777-0467
Entity
Organization
Contact information
Practice address
310 SUGAR HILL RD, UNION DALE, PA 18470-7397
(772) 252-1235
(772) 252-1235
Mailing address
310 SUGAR HILL RD, UNIONDALE, PA 18470
(570) 679-2459
(570) 413-0423
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
05/21/2019
Last updated
09/23/2024
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