Organization
SERVICE INDUSTRIES, INC.
Active
Other names
Cliffside Malibu Outpatient Services - Sherman Oaks
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY STEPHENSON (CHIEF OPERATING OFFICER)
(310) 579-1004
Entity
Organization
Contact information
Practice address
15250 VENTURA BLVD, SUITE 1100, SHERMAN OAKS, CA 91403
(424) 217-1052
(310) 456-1860
Mailing address
29160 HEATHERCLIFF RD., STE. 200, MALIBU, CA 90265
(424) 217-1052
(310) 456-1860
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
190069AP
CA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
190856AP
CA
Other
Enumeration date
07/15/2015
Last updated
06/27/2018
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