Organization
THE MEADOWGLADE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY SCHOSER (REVENUE CYCLE MANAGER)
(323) 364-6489
Entity
Organization
Contact information
Practice address
5231 MAUREEN LN # A, MOORPARK, CA 93021-7125
(323) 880-2110
Mailing address
6053 BRISTOL PKWY, CULVER CITY, CA 90230-6601
(323) 364-6489
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
04/19/2019
Last updated
01/14/2026
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