| NPI | 1053934984 |
|---|---|
| Doing Business As | MONTE NIDO EAST BAY |
| Entity Type | Organization |
| Authorized Contact | MIKE BAGLEY Chief Financial Officer 305-663-1876 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |