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Organization
MONTE NIDO LAKE VISTA, LLC
Active
Organization
MONTE NIDO LAKE VISTA, LLC
Active
Other names
Clementine Orange County
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON SCHULZ (CHIEF FINANCIAL OFFICER)
(305) 663-1876
Entity
Organization
Contact information
Practice address
17059 EL CAJON AVE, YORBA LINDA, CA 92886-2220
(657) 363-4633
(714) 961-6052
Mailing address
6100 SW 76TH ST, SOUTH MIAMI, FL 33143-5002
(305) 663-1876
(786) 359-4485
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
09/02/2026
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