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28955 Pacific Coast Hwy Ste 210 Malibu CA 90265-3930 | |
| (866) 438-0422 | |
| (310) 494-0442 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 28955 Pacific Coast Hwy Ste 210, Malibu, California |
| Authorized Official Name and Position | Jared Valentine (CEO) |
| Authorized Official Contact | 3105795192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
30765 Pacific Coast Highway #135 Malibu CA 90265-3643 Ph: (805) 370-8048 | 28955 Pacific Coast Hwy Ste 210 Malibu CA 90265-3930 Ph: (866) 438-0422 |
| NPI Number | 1508390881 |
|---|---|
| Provider Enumeration Date | 04/13/2017 |
| Last Update Date | 01/14/2025 |
| Certification Date | 01/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508390881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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