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Organization

MOUNTAINTOP LLC

Active
Other names
Mountaintop Behavior Health
Organization subpart
No

Provider details

NPI number
Authorized official
JASON THOMAS UNDERDAHL BS (CHIEF ADMINISTRATIVE OFFICER)
(208) 262-1885
Entity
Organization

Contact information

Practice address
9890 N HILLVIEW DR, HAYDEN, ID 83835-9508
(208) 518-3868
Mailing address
PO BOX 3003, HAYDEN, ID 83835-3003
(208) 262-1885

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
01/13/2025
Last updated
01/13/2025
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