Organization
MOUNTAIN TOP BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLUGBENGA ADEDOLAPO TEPEDE (CEO/PROGRAM DIRECTOR)
(623) 363-6408
Entity
Organization
Contact information
Practice address
7319 W MALDONADO RD, LAVEEN, AZ 85339-7001
(623) 363-6408
(888) 843-7281
Mailing address
7319 W MALDONADO RD, LAVEEN, AZ 85339-7001
(623) 363-6408
(888) 843-7281
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH4710
AZ
Other
Enumeration date
11/27/2015
Last updated
11/27/2015
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