Organization
MOMENTUM AGENCIES
Active
Other names
UCP/SCF ICF/DD-N BRADLEY
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MAROTTA (ACCOUNTS RECEIVABLE MANAGER)
(818) 782-2211
Entity
Organization
Contact information
Practice address
13290 BRADLEY AVE, SYLMAR, CA 91342-1203
(818) 363-7687
(818) 362-7837
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
—
—
Other
Enumeration date
10/22/2008
Last updated
07/29/2022
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