Organization
MOMENTOUS RECOVERY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA FENWICK (CEO)
(818) 617-5090
Entity
Organization
Contact information
Practice address
19642 BALLINGER ST, NORTHRIDGE, CA 91324-2103
(818) 626-9790
Mailing address
19642 BALLINGER ST, NORTHRIDGE, CA 91324-2103
(818) 617-5090
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
12/17/2025
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