Organization · Type 2 NPI
Monte Nido Lake Vista, LLC
Mental Illness Community Based Residential Treatment Facility · Lafayette, CA
NPI number
1053934984
Active
Practice location
1776 Ivanhoe Ave
Lafayette, CA 94549-1954
Fax (786) 359-4485
Mailing address
6100 SW 76th St
South Miami, FL 33143-5002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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About NPI 1053934984
Monte Nido Lake Vista, LLC's National Provider Identifier is 1053934984, issued on May 27, 2020. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Lafayette, CA. The record was last updated on Sep 2, 2026.