Organization
MOMENTUM AGENCIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MAROTTA (ACCOUNTS RECEIVABLE MANAGER)
(818) 782-2211
Entity
Organization
Contact information
Practice address
13655 WOODCOCK AVE, SYLMAR, CA 91342-1146
(818) 364-2746
(818) 364-9606
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
10/02/2008
Last updated
09/11/2023
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