Organization
MALIBU CANYON REHAB CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ARIELLE PENN LCSW (PROGRAM DIRECTOR)
(310) 740-1373
Entity
Organization
Contact information
Practice address
4505 LAS VIRGENES ROAD, SUITE 207, CALABASAS, CA 91302
(818) 878-6900
(818) 878-6902
Mailing address
4505 LAS VIRGENES ROAD, SUITE 207, CALABASAS, CA 91302
(818) 878-6900
(818) 878-6902
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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