Organization
TCSRZS HOLDINGS LLC
Active
Other names
Amend Treatment - Portshead, Amend Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS CALECA (COO)
(303) 960-8842
Entity
Organization
Contact information
Practice address
6766 PORTSHEAD RD, MALIBU, CA 90265-4262
(805) 912-6363
Mailing address
6312 S FIDDLERS GREEN CIR STE 300E, GREENWOOD VILLAGE, CO 80111-4831
(805) 912-6363
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/08/2024
Last updated
06/28/2024
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