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Organization

MONTAGE RECOVERY CA, LLC

Active
Parent organization
MONTAGE RECOVERY CA, LLC
Other names
Costa Colina-Kanan Dume, Renewal Behavioral Health Outpatient
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
2890 KANAN DUME ROAD, MALIBU, CA 90265
(818) 299-3602
(805) 830-1565
Mailing address
203 S ORANGE DR, LOS ANGELES, CA 90036-3010
(805) 702-4273
(818) 830-1565

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
323P00000X
Psychiatric Residential Treatment Facility
Primary

Other

Enumeration date
02/04/2020
Last updated
09/01/2020
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