| NPI | 1124392840 |
|---|---|
| Doing Business As | MOUNTAIN VISTA ALH |
| Entity Type | Organization |
| Authorized Contact | DARCY L HIETT Administrator/Member 907-244-9504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AK 100803) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-02-27 |