Organization
MOUNTAINTOP LLC
Active
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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