Organization
THE CANYON AT PEACE PARK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN BIGSBY PHD, MSW (CHIEF EXECUTIVE OFFICER)
(310) 457-3209
Entity
Organization
Contact information
Practice address
2900 S. KANAN DUME ROAD, MALIBU, CA 90265-2792
(310) 457-3209
(310) 457-4440
Mailing address
210 WESTWOOD PLACE,, SUITE 120, BRENTWOOD, TN 37027-7554
(615) 342-3200
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190441BP
CA
Other
Enumeration date
06/20/2008
Last updated
08/06/2009
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