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Organization

CLIFFSIDE MALIBU 3

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KELLY STEPHENSON (CHIEF EXECUTIVE OFFICER)
(310) 579-1004
Entity
Organization

Contact information

Practice address
20725 ROCKCROFT DR., MALIBU, CA 90265
(424) 781-9961
(424) 781-9961
Mailing address
29160 HEATHERCLIFF RD., STE. 200, MALIBU, CA 90265
(424) 217-1052
(424) 217-1052

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190067AP
CA
324500000X
Substance Abuse Rehabilitation Facility
190836AP
CA

Other

Enumeration date
03/06/2015
Last updated
03/11/2019
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