# MOUNTAIN VIEW TRANSITIONAL LLC

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

## Provider details

- **NPI number:** 1922684588
- **Authorized official:** MR. WAYNE A. JOHNSON SR. MASTER OF SCIENCE (CEO / OWNER)
- **Authorized official phone:** (213) 709-5096

## Contact information

- **Practice address:** 3623 SHANDIN DR, SAN BERNARDINO, CA 92407-5837
- **Practice address phone:** (213) 709-5096
- **Mailing address:** 3623 SHANDIN DR, SAN BERNARDINO, CA 92407-5837
- **Mailing address phone:** (213) 709-5096

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QR0800X | Recovery Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/23/2021
- **Last updated:** 03/23/2021