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Organization
3855 BRUNSTON LLC
Active
Organization
3855 BRUNSTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA DENNIS (INSURANCE MANAGER)
(805) 579-3537
Entity
Organization
Contact information
Practice address
5182 GARRETT CT, HIDDEN HILLS, CA 91302-1143
(888) 643-7135
Mailing address
28632 ROADSIDE DR STE 235, AGOURA HILLS, CA 91301-6095
(888) 643-7135
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
01/07/2025
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