Organization
MOUNTAIN VIEW HEALTH LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANNER JORDAN MONSTAD (OWNER/CEO)
(253) 670-5993
Entity
Organization
Contact information
Practice address
13028 INTERURBAN AVE S STE 124, TUKWILA, WA 98168-3340
(253) 670-5993
Mailing address
PO BOX 68816, SEATTLE, WA 98168-0816
(253) 670-5993
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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