MONTAGE RECOVERY CA LLC NPI 1700549102

NPI Information

MONTAGE RECOVERY CA, LLC is a community based residential treatment facility mental illness in Encino, 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 CA, LLC NPI is 1700549102. The provider is registered as an organization entity type.
The provider Is Doing Business As Montage Recovery Ca-costa Colina I.

The provider's business location address is:

18016 VALLEY VISTA BLVD
ENCINO, CA
ZIP 91316-223
Phone: (805) 437-6515

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 05D2184580 - other - mental health residential with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/21/2021 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:

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