Organization
PINNACLE VISTA RESIDENTIAL LLC
Active
Other names
Pinnacle Vista Residential LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE BLANTON (MANAGER)
(480) 334-1417
Entity
Organization
Contact information
Practice address
17510 W PINNACLE VISTA DR, SURPRISE, AZ 85387-1132
(480) 677-5988
Mailing address
17510 W PINNACLE VISTA DR, SURPRISE, AZ 85387-1132
(480) 334-1417
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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