Organization
MORIAH BEHAVIORAL HEALTH CO.
Active
Other names
Ignite Teen Treatment - Bahama Bay
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MARSHALL (DIRECTOR, BILLING & COLLECTIONS)
(570) 203-9222
Entity
Organization
Contact information
Practice address
3621 BAHAMA BAY CT, LAS VEGAS, NV 89147-6800
(725) 272-0330
Mailing address
512 NORTHAMPTON ST # 158, EDWARDSVILLE, PA 18704-4560
(570) 203-9222
(570) 203-9477
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
08/26/2022
Last updated
03/27/2024
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