| NPI | 1669923124 |
|---|---|
| Doing Business As | PROMISES MALIBU VISTA |
| Entity Type | Organization |
| Authorized Contact | CHERYL MAPLESDEN Sr Director Rcm 615-510-3708 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: CA 197608528) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: CA 198601437) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2017-01-12 |