Organization · Type 2 NPI

Montage Recovery Ca, LLC

Mental Illness Community Based Residential Treatment Facility · Encino, CA

NPI number 1770150658 Active

Practice location

4944 Lindley Ave
Encino, CA 91316-4234

Fax (805) 830-1565

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.

Another provider at this address

Zaakirah DanielsClinical Social Worker Encino, CA NPI 1508436916

Other mental illness community based residential treatment facility providers in Encino

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NPI record

NPI: 1770150658
Entity type: Organization (Type 2)
Issued: Jun 8, 2021
Last updated: Apr 1, 2022
Status: Active
Subpart: Yes of Montage Recovery Ca, LLC

Other names

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Montare at the Boulevard · doing business as
Montare at the Boulevard · 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 1770150658

Montage Recovery Ca, LLC's National Provider Identifier is 1770150658, issued on Jun 8, 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.