Organization
MERMAIDS COVE MALIBU INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDYANA LAIR SANTANGELO (CEO)
(310) 488-4676
Entity
Organization
Contact information
Practice address
5332 HORIZON DR, MALIBU, CA 90265-3738
(310) 488-4676
Mailing address
28875 SELFRIDGE DR, MALIBU, CA 90265-4263
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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