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Organization
MOUNTAIN VIEW COMMUNITY MENTAL HEALTH AND RECOVERY CENTER LLC
Active
Organization
MOUNTAIN VIEW COMMUNITY MENTAL HEALTH AND RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELPHINE A ATU-TETUH MSN, PMHNP-BC (OWNER OF ENTITY)
(907) 229-2621
Entity
Organization
Contact information
Practice address
3950 MOUNTAIN VIEW DR, ANCHORAGE, AK 99508-1511
(907) 229-2621
Mailing address
3523 MOUNTAIN VIEW DR, ANCHORAGE, AK 99508-1111
(907) 229-2621
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1712190
—
AK
Enumeration date
11/24/2021
Last updated
11/02/2023
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