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Monte Nido Lake Vista, Llc
Mental Illness Community Based Residential Treatment Facility in Agoura Hills, California
NPI 1730357930

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 Agoura Hills, CA. The NPI Number for Monte Nido Lake Vista, Llc is 1730357930 and holds a License No. 550000662 (California).

The current practice location address for Monte Nido Lake Vista, Llc is 28855 Lake Vista Dr, Agoura Hills, CA and can be reached out via phone at 818-338-7890 and via fax at 818-338-7897.

Location: 28855 Lake Vista Dr, Agoura Hills, CA, 33143-5002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730357930
Provider Name
Monte Nido Lake Vista, Llc
Credential
Provider Entity Type
Organization
Address
28855 Lake Vista Dr, Agoura Hills, CA, 33143-5002
Phone Number
818-338-7890
Fax Number
818-338-7897
Provider Enumeration Date
02/11/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
28855 Lake Vista Dr
City
Agoura Hills
State
California
Zip
91301-2801
Phone Number
818-338-7890
Fax Number
818-338-7897
person
Provider Business Mailing Address Details
Address
28855 Lake Vista Dr
City
Agoura Hills
State
California
Zip
91301-2801
Phone Number
818-338-7890
Fax Number
818-338-7897
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
550000662 (California)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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