Organization
CRC CALIFORNIA RD INC
Active
Other names
Echo Malibu Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
COLE RUCKER (CLINIC DIRECTOR)
(310) 589-2090
Entity
Organization
Contact information
Practice address
6323 VIA ESCONDIDO DR, MALIBU, CA 90265-4484
(310) 589-2090
Mailing address
6323 VIA ESCONDIDO DR, MALIBU, CA 90265-4484
(310) 589-2090
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
198205781
CA
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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