NPI | 1528442936 |
---|---|
Doing Business As | CLIFFSIDE MALIBU OUTPATIENT SERVICES - SHERMAN OAKS |
Entity Type | Organization |
Authorized Contact | KELLY STEPHENSON Chief Operating Officer 310-579-1004 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 190069AP) |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 190856AP) |
Enumeration Date | 2015-07-15 |
Last Update Date | 2018-06-27 |