Organization
CREATIVE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORTEZA KHALEGHI PH.D (EXECUTIVE DIRECTOR)
(310) 589-9834
Entity
Organization
Contact information
Practice address
5941 TRANCAS CANYON RD, MALIBU, CA 90265-3118
(310) 589-9834
(310) 774-5369
Mailing address
PO BOX 24595, LOS ANGELES, CA 90024-0595
(310) 589-9834
(310) 774-5369
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190226CP
CA
Other
Enumeration date
02/10/2009
Last updated
02/10/2009
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