| The Meadowglade, Llc | |
|
301 Science Dr Ste 210 Moorpark CA 93021-0801 | |
| (323) 880-2110 | |
| Not Available |
| Full Name | The Meadowglade, Llc |
|---|---|
| Speciality | Psychiatric Residential Treatment Facility |
| Location | 301 Science Dr Ste 210, Moorpark, California |
| Authorized Official Name and Position | Terry Schoser (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 3233646489 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Meadowglade, Llc 6053 Bristol Pkwy Culver City CA 90230-6601 Ph: (323) 364-6489 | The Meadowglade, Llc 301 Science Dr Ste 210 Moorpark CA 93021-0801 Ph: (323) 880-2110 |
| NPI Number | 1548823032 |
|---|---|
| Provider Enumeration Date | 04/19/2019 |
| Last Update Date | 11/15/2021 |
| Certification Date | 11/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548823032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 323P00000X | Psychiatric Residential Treatment Facility | (* (Not Available)) | Primary |
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