Organization
MALIBU CALIFORNIA MODEL DRUG TREATMENT CENTER, INC
Active
Other names
INSPIRE MALIBU
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANASTASIA ROMA SARKAR (CEO)
(818) 292-9213
Entity
Organization
Contact information
Practice address
3875 KANAN RD, AGOURA HILLS, CA 91301-3210
(818) 707-7100
Mailing address
30101 AGOURA CT STE 103, AGOURA HILLS, CA 91301-4301
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190729AP
CA
Other
Enumeration date
11/03/2011
Last updated
10/18/2024
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