# MOUNTAINTOP BEHAVIORAL HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194087031
- **Authorized official:** OLUGBENGA A TEPEDE MBA (PROGRAM ADMINISTRATOR)
- **Authorized official phone:** (623) 363-6408

## Contact information

- **Practice address:** 3838 W DUNBAR DR, PHOENIX, AZ 85041-6112
- **Practice address phone:** (602) 237-2820
- **Practice address fax:** (888) 843-7281
- **Mailing address:** 3838 W DUNBAR DR, PHOENIX, AZ 85041-6112
- **Mailing address phone:** (602) 237-2820
- **Mailing address fax:** (888) 843-7281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | BH4024 | AZ | Yes |

## Other

- **Enumeration date:** 06/15/2012
- **Last updated:** 06/15/2012