Organization · Type 2 NPI
Monte Nido Lake Vista, LLC
Mental Illness Community Based Residential Treatment Facility · Agoura Hills, CA
NPI number
1730357930
Active
Practice location
28855 Lake Vista Dr
Agoura Hills, CA 91301-2801
Fax (818) 338-7897
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 | 550000662 (CA) |
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.
Other mental illness community based residential treatment facility providers in Agoura Hills
About NPI 1730357930
Monte Nido Lake Vista, LLC's National Provider Identifier is 1730357930, issued on Feb 11, 2008. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Agoura Hills, CA. The record was last updated on May 27, 2020.