Organization
SOCAL RECOVERY CENTERS, INC.
Active
Other names
Malibu Life Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JACK GREEN (OWNER)
(310) 699-7482
Entity
Organization
Contact information
Practice address
6315 BONSALL DR, MALIBU, CA 90265-3827
(310) 699-7482
Mailing address
PO BOX 197, LAKE ARROWHEAD, CA 92352-0197
(310) 699-7482
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190787AP
CA
Other
Enumeration date
10/17/2013
Last updated
10/21/2013
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