Organization
MOMENTUM AGENCIES
Active
Other names
UCP/SCF MISSION HOUSE
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MAROTTA (ACCOUNTS RECEIVABLE MANAGER)
(818) 782-2211
Entity
Organization
Contact information
Practice address
18509 SAN FERNANDO MISSION BLVD, NORTHRIDGE, CA 91326-2434
(818) 366-2483
(818) 363-5770
Mailing address
6430 INDEPENDENCE AVE, WOODLAND HILLS, CA 91367-2607
(818) 782-2211
(818) 704-3942
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
01/31/2013
Last updated
07/29/2022
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