Organization
PREMIER RECOVERY SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANAHITA KIA JD, LMFT (CLINICAL DIRECTOR)
(818) 307-6255
Entity
Organization
Contact information
Practice address
29350 PACIFIC COAST HWY STE 12, MALIBU, CA 90265-3970
(310) 994-0506
Mailing address
29350 PACIFIC COAST HWY STE 12, MALIBU, CA 90265-3970
(310) 994-0506
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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