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Organization
MOMENTUM AGENCIES
Active
Organization
MOMENTUM AGENCIES
Active
Other names
UCP LONGO HOUSE
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MAROTTA (ACCOUNTS RECEIVABLE MANAGER)
(818) 782-2211
Entity
Organization
Contact information
Practice address
11051 OLD SANTA SUSANA PASS RD, CHATSWORTH, CA 91311-1206
(818) 998-8755
Mailing address
6430 INDEPENDENCE AVE, WOODLAND HILLS, CA 91367-2607
(818) 782-2211
(818) 909-9106
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
10/15/2008
Last updated
07/29/2022
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