| NPI | 1114175908 |
|---|---|
| Doing Business As | RENAISSANCE MALIBU |
| Entity Type | Organization |
| Authorized Contact | SALVATORE PETRUCCI President 818-707-8102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190392AP) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190392BP) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |