MONTAGE RECOVERY CA LLC NPI 1306611751

NPI Information

  • NPI: 1306611751
  • Provider Name: MONTAGE RECOVERY CA, LLC
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • CLIA Number: 03D2323450
  • Address: 642 W LINGER LN
    PHOENIX, AZ
    ZIP 85021
  • Phone: (805) 437-6515

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NPI Details

MONTAGE RECOVERY CA, LLC is a community based residential treatment facility mental illness in Phoenix, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MONTAGE RECOVERY CA, LLC NPI is 1306611751. The provider is registered as an organization entity type.

The provider's business location address is:

642 W LINGER LN
PHOENIX, AZ
ZIP 85021-264
Phone: (805) 437-6515
Fax: (805) 830-1565

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

The CLIA number assigned to this NPI record is 03D2323450 - other - mental health residential with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2023 and was last updated on 11/15/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 11/21/2025

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