Organization
MONTE NIDO PENNSYLVANIA, LLC
Active
Parent organization
MONTE NIDO HOLDINGS, LLC
Other names
Eating Disorder Center of Pennsylvania
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONTE NIDO HOLDINGS, LLC
Authorized official
MIKE BAGLEY (CHIEF FINANCIAL OFFICER)
(305) 663-1876
Entity
Organization
Contact information
Practice address
789 E LANCASTER AVE STE 130, VILLANOVA, PA 19085-1521
(610) 581-8820
Mailing address
6100 SW 76TH ST, SOUTH MIAMI, FL 33143-5002
(305) 663-1876
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/14/2016
Last updated
03/04/2020
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