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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