| NPI | 1124456777 |
|---|---|
| Doing Business As | MALIBU LIFE RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JACK GREEN Owner 310-699-7482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190787AP) |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2013-10-21 |