institution
Monte Nido Lake Vista, Llc
Mental Illness Community Based Residential Treatment Facility in Lafayette, California
NPI 1053934984

Monte Nido Lake Vista, Llc is a Mental Illness Community Based Residential Treatment Facility based in South Miami, CA. Monte Nido Lake Vista, Llc practices in Lafayette, CA. The NPI Number for Monte Nido Lake Vista, Llc is 1053934984 and holds a License No. (California).

The current practice location address for Monte Nido Lake Vista, Llc is 1776 Ivanhoe Ave, Lafayette, CA and can be reached out via phone at 305-663-1876 and via fax at 786-359-4485. You can also correspond with Monte Nido Lake Vista, Llc through the mailing address at 6100 SW 76TH ST, SOUTH MIAMI, FL - 33143-5002 (mailing address contact number: 305-663-1876).

Location: 1776 Ivanhoe Ave, Lafayette, CA, 33143-5002
institution
Provider Profile Details
NPI Number
1053934984
Provider Name
Monte Nido Lake Vista, Llc
Credential
Provider Entity Type
Organization
Address
1776 Ivanhoe Ave, Lafayette, CA, 33143-5002
Phone Number
305-663-1876
Fax Number
786-359-4485
Provider Enumeration Date
05/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1776 Ivanhoe Ave
City
State
Zip
94549-1954
Phone Number
305-663-1876
Fax Number
786-359-4485
person
Provider Business Mailing Address Details
Address
1776 Ivanhoe Ave
City
State
Zip
94549-1954
Phone Number
305-663-1876
Fax Number
786-359-4485
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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