Organization
MONTAGE RECOVERY CA, LLC
Active
Other names
Montage Recovery CA-Costa Colina I
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN ZUNIGA (DIRECTOR)
(805) 616-0719
Entity
Organization
Contact information
Practice address
18016 VALLEY VISTA BLVD, ENCINO, CA 91316-4223
(805) 437-6515
Mailing address
203 S ORANGE DR, LOS ANGELES, CA 90036-3010
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
10/21/2021
Last updated
04/01/2022
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