| NPI | 1164826210 |
|---|---|
| Former Legal Business Name | CLIFFSIDE MALIBU IOP |
| Entity Type | Organization |
| Authorized Contact | MAGDALEN GUSTILO Director Of Payer Relations 714-568-7667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 190078AP) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 190815A) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2023-11-14 |