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Monte Nido Lake Vista, Llc
Adolescent and Children Mental Health Clinic/Center in Agoura Hills, California
NPI 1780105551

Monte Nido Lake Vista, Llc is an Adolescent and Children Mental Health Clinic/Center based in South Miami, CA and is specialized in Adolescent and Children Mental Health. Monte Nido Lake Vista, Llc practices in Agoura Hills, CA. The NPI Number for Monte Nido Lake Vista, Llc is 1780105551 and holds a License No. (California).

The current practice location address for Monte Nido Lake Vista, Llc is 29470 Lake Vista Dr, Agoura Hills, CA and can be reached out via phone at 747-212-5021 and via fax at 818-575-7327.

Location: 29470 Lake Vista Dr, Agoura Hills, CA, 33143-5002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780105551
Provider Name
Monte Nido Lake Vista, Llc
Credential
Provider Entity Type
Organization
Address
29470 Lake Vista Dr, Agoura Hills, CA, 33143-5002
Phone Number
747-212-5021
Fax Number
818-575-7327
Provider Enumeration Date
07/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
29470 Lake Vista Dr
City
Agoura Hills
State
California
Zip
91301-2818
Phone Number
747-212-5021
Fax Number
818-575-7327
person
Provider Business Mailing Address Details
Address
29470 Lake Vista Dr
City
Agoura Hills
State
California
Zip
91301-2818
Phone Number
747-212-5021
Fax Number
818-575-7327
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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