Organization · Type 2 NPI

Montage Recovery Ca, LLC

Mental Illness Community Based Residential Treatment Facility · Encino, CA

NPI number 1700549102 Active

Practice location

18016 Valley Vista Blvd
Encino, CA 91316-4223

Call (805) 437-6515 Map

Mailing address

203 S Orange Dr
Los Angeles, CA 90036-3010

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed
Psychiatric Residential Treatment Facility	323P00000X	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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NPI record

NPI: 1700549102
Entity type: Organization (Type 2)
Issued: Oct 21, 2021
Last updated: Apr 1, 2022
Status: Active

Other names

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Montage Recovery Ca-Costa Colina I · doing business as
Montage Recovery Ca-Costa Colina I · doing business as

Authorized official

Joann Zuniga
Director
(805) 616-0719

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1700549102

Montage Recovery Ca, LLC's National Provider Identifier is 1700549102, issued on Oct 21, 2021. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Encino, CA. The record was last updated on Apr 1, 2022.