Organization
MALIBU CALIFORNIA MODEL DRUG TREATMENT CENTER,INC
Active
Organization
MALIBU CALIFORNIA MODEL DRUG TREATMENT CENTER,INC
Active
Other names
Inspire Malibu
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA SHMELEVA (CFO)
(818) 585-0027
Entity
Organization
Contact information
Practice address
30101 AGOURA CT STE 103, AGOURA HILLS, CA 91301-4301
(818) 532-6243
(818) 532-6244
Mailing address
30101 AGOURA CT STE 103, AGOURA HILLS, CA 91301-4301
(818) 532-6243
(818) 532-6244
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
190729BP
CA
Other
Enumeration date
10/24/2011
Last updated
10/18/2024
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