Monte Nido Lake Vista, LLC
Monte Nido Lake Vista, LLC is a Mental Illness Community Based Residential Treatment Facility in Agoura Hills, California. Licensed in California. Registered with an NPI since 2008.
- Licensed in
- CA
- In the registry since
- 2008
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
28855 Lake Vista DrAgoura Hills, CA 91301-2801
Phone: (818) 338-7890
Fax: (818) 338-7897
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 · Licence 550000662 (CA) |
|---|
Record details
| NPI number | 1730357930 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mike Bagley — Chief Financial Officer · (305) 663-1876 |
| NPI enumerated | February 11, 2008 |
| Last updated in NPPES | May 27, 2020 |
| Certification date | May 27, 2020 |
| Mailing address | 6100 Sw 76th St, South Miami, FL 33143-5002 |