Monte Nido Lake Vista, LLC
Monte Nido Lake Vista, LLC is a Mental Illness Community Based Residential Treatment Facility in Lafayette, California. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1776 Ivanhoe AveLafayette, CA 94549-1954
Phone: (305) 663-1876
Fax: (786) 359-4485
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X |
|---|
Record details
| NPI number | 1053934984 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Monte Nido Lake Vista, LLC |
| Authorized official | Mike Bagley — Chief Financial Officer · (305) 663-1876 |
| Other names | Monte Nido East Bay |
| NPI enumerated | May 27, 2020 |
| Last updated in NPPES | May 27, 2020 |
| Certification date | May 27, 2020 |
| Mailing address | 6100 Sw 76th St, South Miami, FL 33143-5002 |
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