RENEWAL BEHAVIORAL HEALTH OUTPATIENT – NPI #1902438393
Psychiatric Residential Treatment Facility

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

RENEWAL BEHAVIORAL HEALTH OUTPATIENT is a psychiatric residential treatment facility located in MALIBU, CA. NPPES has assigned the NPI number 1902438393 to RENEWAL BEHAVIORAL HEALTH OUTPATIENT on February 04, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RENEWAL BEHAVIORAL HEALTH OUTPATIENT” is a dba name, the actual legal business name for this organization is MONTAGE RECOVERY CA, LLC. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 323P00000X from the Health Care Provider Taxonomy code set, which is classified as Psychiatric Residential Treatment Facility.

The NPI profile was previously updated about 6 years ago on Sep 01, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RENEWAL BEHAVIORAL HEALTH OUTPATIENT below.

NPI Profile for
MONTAGE RECOVERY CA, LLC

NPI Number
1902438393
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MONTAGE RECOVERY CA, LLC
Doing Business As (dba): RENEWAL BEHAVIORAL HEALTH OUTPATIENT
Other name(s)
All associated names:
Doing Business As (dba)
Costa Colina-Kanan Dume
Doing Business As (dba)
Renewal Behavioral Health Outpatient
Primary location
2890 KANAN DUME ROAD
MALIBU, CA 90265
Phone: (818) 299-3602 Fax: (805) 830-1565
1 Other location(s):
1129 S Gramercy Dr
Los Angeles, CA 90019-3610
Phone: (805) 702-4273
Fax: (818) 698-6442
Mailing address
203 S ORANGE DR
LOS ANGELES, CA 90036-3010
Phone: (805) 702-4273 Fax: (818) 830-1565
Organization Subpart
Yes - RENEWAL BEHAVIORAL HEALTH OUTPATIENT is subpart of another organization.
Authorized Official
JOANN ZUNIGA
DIRECTOR
Phone: (805) 616-0719
Updated
Certification Date
Aug 31, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
323P00000X
- Psychiatric Residential Treatment Facility (Primary)
261QM0850X
- Clinic/Center / Adult Mental Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.