Organization
FAIRWAYS CALABASAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF COOPER (CEO/PRESIDENT)
(818) 535-5601
Entity
Organization
Contact information
Practice address
23930 CRAFTSMAN RD, CALABASAS, CA 91302-1437
(818) 535-5601
Mailing address
23930 CRAFTSMAN RD, CALABASAS, CA 91302-1437
(818) 535-5601
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190876AP
CA
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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