Organization
OLA WELLNESS RETREAT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN HAINES (CO-CEO)
(310) 975-5344
Entity
Organization
Contact information
Practice address
30425 PACIFIC COAST HWY, MALIBU, CA 90265-3604
(888) 595-0235
Mailing address
30765 PACIFIC COAST HWY STE 135, MALIBU, CA 90265-3643
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/08/2019
Last updated
06/16/2022
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