Organization
MOUNTAIN VIEW RESIDENTIAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GRAY (MEMBER)
(510) 240-0250
Entity
Organization
Contact information
Practice address
111 S HEARTHSTONE WAY, CHANDLER, AZ 85226-5010
(510) 240-0250
Mailing address
111 S HEARTHSTONE WAY, CHANDLER, AZ 85226-5010
(510) 240-0250
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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