| NPI | 1174946552 |
|---|---|
| Other Name | PROMISES MALIBU |
| Entity Type | Organization |
| Authorized Contact | CHERYL MAPLESDEN Director, Revenue Cycle 615-510-3708 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190625AP) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2017-01-12 |