| Premier Recovery Service, Inc. | |
|
29350 Pacific Coast Hwy Ste 12 Malibu CA 90265-3970 | |
| (310) 994-0506 | |
| Not Available |
| Full Name | Premier Recovery Service, Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 29350 Pacific Coast Hwy Ste 12, Malibu, California |
| Authorized Official Name and Position | Anahita Kia (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8183076255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Recovery Service, Inc. 29350 Pacific Coast Hwy Ste 12 Malibu CA 90265-3970 Ph: (310) 994-0506 | Premier Recovery Service, Inc. 29350 Pacific Coast Hwy Ste 12 Malibu CA 90265-3970 Ph: (310) 994-0506 |
| NPI Number | 1629580709 |
|---|---|
| Provider Enumeration Date | 10/30/2017 |
| Last Update Date | 10/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629580709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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