Organization
MONTE NIDO RESIDENTIAL CENTER, LLC
Active
Other names
Monte Nido Residential Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE BAGLEY (CHIEF FINANCIAL OFFICER)
(305) 663-1876
Entity
Organization
Contact information
Practice address
514 LIVE OAK CIRCLE DR, CALABASAS, CA 91302-2139
(818) 222-9534
(818) 222-3818
Mailing address
6100 SW 76TH ST, SOUTH MIAMI, FL 33143-5002
(305) 663-1876
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
980001603
CA
Other
Enumeration date
02/08/2007
Last updated
08/03/2020
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