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Organization

REALIZATION CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GARY VERBOON (EXECUTIVE DIRECTOR)
(818) 880-2193
Entity
Organization

Contact information

Practice address
26066 MULHOLLAND HWY, CALABASAS, CA 91302-1916
(818) 880-2193
Mailing address
23853 PACIFIC COAST HWY, SUITE 540, MALIBU, CA 90265
(818) 880-2193

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190663AP
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
190663AP
CALIFORNIA DEPARTMENT OF DRUG AND ALCOHOL PROGRAMS
CA
Enumeration date
03/11/2009
Last updated
03/11/2009
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