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Organization
MONTCLAIR GUEST HOME, INC
Active
Organization
MONTCLAIR GUEST HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORAN REZNIK (MANAGER)
(909) 624-5575
Entity
Organization
Contact information
Practice address
4515 ORCHARD ST, MONTCLAIR, CA 91763-3102
(909) 624-5575
Mailing address
4515 ORCHARD ST, MONTCLAIR, CA 91763-3102
(909) 624-5575
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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