| Luxury Rehab Group, Llc. | |
|
123 Hodencamp Rd Ste 103 Thousand Oaks CA 91360-5833 | |
| (805) 777-7595 | |
| Not Available |
| Full Name | Luxury Rehab Group, Llc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 123 Hodencamp Rd Ste 103, Thousand Oaks, California |
| Authorized Official Name and Position | Sheila Shilati (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 4242342060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luxury Rehab Group, Llc. 31739 Pacific Coast Hwy Malibu CA 90265-2643 Ph: (424) 235-2012 | Luxury Rehab Group, Llc. 123 Hodencamp Rd Ste 103 Thousand Oaks CA 91360-5833 Ph: (805) 777-7595 |
| NPI Number | 1760098875 |
|---|---|
| Provider Enumeration Date | 09/23/2020 |
| Last Update Date | 09/23/2020 |
| Certification Date | 09/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760098875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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