| Mountain View Transitional Llc | |
|
3623 Shandin Dr San Bernardino CA 92407-5837 | |
| (213) 709-5096 | |
| Not Available |
| Full Name | Mountain View Transitional Llc |
|---|---|
| Speciality | Clinic/center - Recovery Care |
| Location | 3623 Shandin Dr, San Bernardino, California |
| Authorized Official Name and Position | Wayne A. Johnson (CEO / OWNER) |
| Authorized Official Contact | 2137095096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain View Transitional Llc 3623 Shandin Dr San Bernardino CA 92407-5837 Ph: (213) 709-5096 | Mountain View Transitional Llc 3623 Shandin Dr San Bernardino CA 92407-5837 Ph: (213) 709-5096 |
| NPI Number | 1922684588 |
|---|---|
| Provider Enumeration Date | 03/23/2021 |
| Last Update Date | 03/23/2021 |
| Certification Date | 03/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922684588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QR0800X | Clinic/center - Recovery Care | (* (Not Available)) | Primary |
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