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Organization
MOUNTAIN VIEW MENTAL HEALTH LLC
Active
Organization
MOUNTAIN VIEW MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELYNDA OWENS (BILLING & CREDENTIALING MANAGER)
(541) 500-8655
Entity
Organization
Contact information
Practice address
33 N CENTRAL AVE STE 409, MEDFORD, OR 97501-5939
(541) 941-2028
Mailing address
PO BOX 4752, MEDFORD, OR 97501-0197
(541) 500-8655
(800) 433-1396
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/19/2020
Last updated
07/31/2020
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