Montclair Guest Home, INC
NPI #1124284245 in Montclair, California
Provider Information
- NPI Number
- 1124284245
- Entity Type
- Organization
- Organization Name
- Montclair Guest Home, INC
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- Jul 29, 2008
- Last Updated
- Jul 29, 2008
Practice Location
- Address
- 4515 ORCHARD ST
- City
- Montclair
- State
- California
- ZIP Code
- 91763-3102
- Phone
- (909) 624-5575
Authorized Official
- Name
- ORAN REZNIK
- Title
- MANAGER
- Phone
- (909) 624-5575
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Residential Treatment Facility |
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