Organization
MONTE VISTA BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANICET NDAGIJIMANA (CEO)
(520) 445-5832
Entity
Organization
Contact information
Practice address
6206 W MONTE VISTA RD, PHOENIX, AZ 85035-3533
(028) 886-7796
(312) 610-5767
Mailing address
10720 W INDIAN SCHOOL RD STE 19, PHOENIX, AZ 85037-5799
(520) 445-5832
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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