Organization
SEASONS RECOVERY CENTERS-ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER JAMES BATHUM PA (CHIEF EXECUTIVE OFFICER)
(818) 635-9380
Entity
Organization
Contact information
Practice address
30245 PACIFIC COAST HWY, 30245 PACIFIC COAST HIGHWAY, MALIBU, CA 90265-3603
(818) 635-9380
Mailing address
30245 PACIFIC COAST HWY, 30245 PACIFIC COAST HIGHWAY, MALIBU, CA 90265-3603
(818) 635-9380
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
15523
CA
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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