Organization
SOBA LIVING LLC
Active
Other names
Malibu Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE JOHNS (ACCOUNT EXECUTIVE)
(310) 457-2730
Entity
Organization
Contact information
Practice address
22677 PACIFIC COAST HWY, MALIBU, CA 90265-5036
(866) 547-6451
(310) 919-3667
Mailing address
23440 CIVIC CENTER WAY, SUITE 102, MALIBU, CA 90265-5901
(866) 547-6451
(310) 919-3667
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190664AP
CA
Other
Enumeration date
06/10/2009
Last updated
06/30/2016
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