Organization
CASABLANCA SOBERLIVING LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD GALVAN (OWNER)
(818) 731-2738
Entity
Organization
Contact information
Practice address
12455 SARAH ST, STUDIO CITY, CA 91604-1259
(818) 731-2738
Mailing address
11319 OVERLOOK TRL, KAGEL CANYON, CA 91342-6200
(818) 731-2738
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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