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Columbine Division
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Montclair, California
NPI 1649422080

Columbine Division is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Montclair, CA. Columbine Division practices in Montclair, CA. The NPI Number for Columbine Division is 1649422080 and holds a License No. 240000422 (California).

The current practice location address for Columbine Division is 9140 Monte Vista Ave, Montclair, CA and can be reached out via phone at 909-624-2774 and via fax at 909-624-6014.

Location: 9140 Monte Vista Ave, Montclair, CA, 91763-2506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649422080
Provider Name
Columbine Division
Credential
Provider Entity Type
Organization
Address
9140 Monte Vista Ave, Montclair, CA, 91763-2506
Phone Number
909-624-2774
Fax Number
909-624-6014
Provider Enumeration Date
10/16/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9140 Monte Vista Ave
City
Montclair
State
California
Zip
91763-1723
Phone Number
909-624-2774
Fax Number
909-624-6014
person
Provider Business Mailing Address Details
Address
9140 Monte Vista Ave
City
Montclair
State
California
Zip
91763-1723
Phone Number
909-624-2774
Fax Number
909-624-6014
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
240000422 (California)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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