MONTE NIDO LAKE VISTA, LLC is a community based residential treatment facility mental illness in Lafayette, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MONTE NIDO LAKE VISTA, LLC NPI is 1053934984. The provider is registered as an organization entity type.
The provider's business location address is:
1776 IVANHOE AVE
LAFAYETTE, CA
ZIP 94549-954
Phone: (305) 663-1876
Fax: (786) 359-4485
The provider's authorized official is Mike Bagley .
The authorized official title is Chief Financial Officer and has the following contact phone number (305) 663-1876.
The CLIA number assigned to this NPI record is 05D2196626 - other - res mental hlth facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/27/2020 and was last updated on 5/27/2020.