MONTE NIDO RESIDENTIAL CENTER LLC NPI 1912048570

NPI Information

MONTE NIDO RESIDENTIAL CENTER, LLC is a community based residential treatment facility mental illness in Calabasas, 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 RESIDENTIAL CENTER, LLC NPI is 1912048570. The provider is registered as an organization entity type.
The provider Is Doing Business As Monte Nido Residential Center.

The provider's business location address is:

514 LIVE OAK CIRCLE DR
CALABASAS, CA
ZIP 91302-139
Phone: (818) 222-9534
Fax: (818) 222-3818

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 05D2159903 - other - resi mental hlth facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 8/3/2020.

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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