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Organization

MONTAGE RECOVERY CA, LLC

Active
Parent organization
MONTAGE RECOVERY CA, LLC
Other names
Montare at the Boulevard
Organization subpart
Yes

Provider details

NPI number
Legal business name
MONTAGE RECOVERY CA, LLC
Authorized official
JOANN ZUNIGA (DIRECTOR)
(805) 616-0719
Entity
Organization

Contact information

Practice address
4944 LINDLEY AVE, ENCINO, CA 91316-4234
(818) 299-3602
(805) 830-1565
Mailing address
4944 LINDLEY AVE, ENCINO, CA 91316-4234
(805) 616-0719
(805) 830-1565

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
323P00000X
Psychiatric Residential Treatment Facility

Other

Enumeration date
06/08/2021
Last updated
04/01/2022
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