| NPI | 1437713591 |
|---|---|
| Doing Business As | MALIBU WELLNESS RANCH |
| Entity Type | Organization |
| Authorized Contact | MICHELLE LYNN BENWARD Director Of Care Management 570-296-7281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| 261QR0800X Clinic/Center, Recovery Care | |
| 283Q00000X Psychiatric Hospital | |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2025-09-09 |