OrganizationActive
Mogollon Behavioral Health Inc.
NPI 1295558120 · Comprehensive Outpatient Rehabilitation Facility (CORF) · Phoenix, AZ
Provider details
- NPI number
- 1295558120
- Entity type
- Organization
- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Perrino, Managing Director(928) 910-2237
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
7103 N Black Canyon Hwy
Phoenix, AZ 85021-7619
Phone: (602) 377-4730
Approximate (ZIP-level) locationGet directions
Mailing address
7103 N Black Canyon Hwy
Phoenix, AZ 85021-7619
Registry dates
- Enumerated
- 2024-11-07
- Last updated
- 2024-11-07
- Certified
- 2024-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.