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MONTAGE RECOVERY CALIFORNIA NPI 1245844596


NPI Information

NPI: 1245844596
Provider Name: MONTAGE RECOVERY CALIFORNIA

Doing Business As: VALLEY VISTA RTC

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization

CLIA Number: 05D2184593

Address:
15367 VALLEY VISTA BLVD
SHERMAN OAKS, CA
ZIP 91403
Phone: (818) 299-3602
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MONTAGE RECOVERY CALIFORNIA is a community based residential treatment facility mental illness in Sherman Oaks, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MONTAGE RECOVERY CALIFORNIA NPI is 1245844596. The provider is registered as an organization entity type.
The provider Is Doing Business As Valley Vista Rtc.

The provider's business location address is:

15367 VALLEY VISTA BLVD
SHERMAN OAKS, CA
ZIP 91403
Phone: (818) 299-3602
Fax: (805) 830-1565

The provider's authorized official is Joann Zuniga .
The authorized official title is Director and has the following contact phone number (805) 616-0719.

The CLIA number assigned to this NPI record is 05D2184593 - other - mental health residential with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/3/2020 and was last updated on 4/1/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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