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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
2220 N WESTLAKE BLVD, WESTLAKE VILLAGE, CA 91362-5123
(805) 371-0080
Mailing address
6430 INDEPENDENCE AVE, WOODLAND HILLS, CA 91367-2607
(818) 782-2211

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
09/30/2008
Last updated
07/29/2022
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