Organization
AGOURA RECOVERY COMMUNITY, INC.
Active
Other names
Moonglade Recovery Community
Organization subpart
No
Provider details
NPI number
Authorized official
RILEY COLLINS LMFT (CEO)
(661) 600-5245
Entity
Organization
Contact information
Practice address
29219 CANWOOD ST # 108, AGOURA HILLS, CA 91301-1560
(661) 600-5245
Mailing address
29219 CANWOOD ST # 108, AGOURA HILLS, CA 91301-1560
(661) 600-5245
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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