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Organization
MOUNTAIN VIEW TRANSITIONAL LLC
Active
Organization
MOUNTAIN VIEW TRANSITIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE A. JOHNSON SR. MASTER OF SCIENCE (CEO / OWNER)
(213) 709-5096
Entity
Organization
Contact information
Practice address
3623 SHANDIN DR, SAN BERNARDINO, CA 92407-5837
(213) 709-5096
Mailing address
3623 SHANDIN DR, SAN BERNARDINO, CA 92407-5837
(213) 709-5096
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
261QR0800X
Recovery Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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