# RED MOUNTAIN TREATMENT CENTER PLLC

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

## Provider details

- **NPI number:** 1821643933
- **Authorized official:** JORDAN TENNANT (DC)
- **Authorized official phone:** (999) 999-9999

## Contact information

- **Practice address:** 2745 S ALMA SCHOOL RD STE 3, CHANDLER, AZ 85286-4405
- **Practice address phone:** (480) 626-1746
- **Mailing address:** 2745 S ALMA SCHOOL RD STE 3, CHANDLER, AZ 85286-4405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 261QP3300X | Pain Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/06/2019
- **Last updated:** 12/30/2019