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
2170 N WESTLAKE BLVD, THOUSAND OAKS, CA 91362-5122
(805) 494-1141
(805) 496-5823
Mailing address
6430 INDEPENDENCE AVE, WOODLAND HILLS, CA 91367-2607
(818) 782-2211
(818) 444-3466
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
550000649
CA
Other
Enumeration date
05/01/2008
Last updated
07/29/2022
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