| NPI | 1083299192 |
|---|---|
| Doing Business As | MONTAGE ADOLESCENT |
| Entity Type | Organization |
| Authorized Contact | JOANN ZUNIGA Director 805-616-0719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2021-03-16 |