Organization
RANCH MALIBU VENTURE 1
Active
Other names
MILESTONES RANCH MALIBU
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN HAMILTON (BILLING MANAGER)
(818) 667-6550
Entity
Organization
Contact information
Practice address
327 LATIGO CANYON RD, MALIBU, CA 90265-2708
(818) 879-9110
Mailing address
327 S. LATIGO CYN ROAD, MALIBU, CA 90265
(818) 879-9110
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190649AP
CA
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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