Organization
LUXURY REHAB GROUP, LLC.
Active
Other names
Seasons in Malibu
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEILA SHILATI PSY.D. (CHIEF OPERATING OFFICER)
(424) 234-2060
Entity
Organization
Contact information
Practice address
6021 GALAHAD RD, MALIBU, CA 90265-4030
(818) 635-9380
Mailing address
1801 W. OLYMPIC BLVD,, FILE 1441, PASADENA, CA 91199
(424) 234-2057
(424) 234-2051
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190695AP
CA
Other
Enumeration date
03/13/2009
Last updated
12/04/2015
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