Organization
MALIBU LIGHTHOUSE TREATMENT CENTERS
Active
Parent organization
MALIBU LIGHTHOUSE TREATMENT CENTERS
Other names
Avalon Ranch
Organization subpart
Yes
Provider details
NPI number
Legal business name
MALIBU LIGHTHOUSE TREATMENT CENTERS
Authorized official
DR. PEGGY LOCKE DC (CLAIMS ADMINISTRATOR)
(805) 488-5159
Entity
Organization
Contact information
Practice address
12517 YERBA BUENA RD, MALIBU, CA 90265-2107
(310) 457-8067
Mailing address
12517 YERBA BUENA RD, MALIBU, CA 90265-2107
(310) 457-8067
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190612AP
CA
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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