Organization Name: | MOUNTAIN VIEW BEHAVIORAL HEALTH,INC. |
NPI Number: | 1043391295 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN E ELLISON (VICE PRESIDENT) |
Mailing Address: | 876 N Mountain Ave Ste.200 Upland |
State: | CA US |
Postal Code: | 917864166 |
Phone Number: | 9099319988 |
Fax Number: | 9099317311 |
NPI Enumeration Date: | 10/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |