Organization
LUXURY REHAB GROUP, LLC.
Active
Other names
Seasons Agoura
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA SHILATI (CHIEF OPERATING OFFICER)
(424) 234-2060
Entity
Organization
Contact information
Practice address
5850 LAPWORTH DR, AGOURA HILLS, CA 91301-1858
(747) 222-7802
Mailing address
5850 LAPWORTH DR, AGOURA HILLS, CA 91301-1858
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190655CP
CA
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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