Organization
MALIBU OUTPATIENT INC
Active
Organization
MALIBU OUTPATIENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN HAINES (CEO)
(310) 579-6063
Entity
Organization
Contact information
Practice address
28955 PACIFIC COAST HWY, STE 210, MALIBU, CA 90265-3953
(310) 579-6063
Mailing address
30765 PACIFIC COAST HWY, STE 135, MALIBU, CA 90265-3646
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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