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Active
Other names
Men's Residential Treatment Program
Organization subpart
No

Provider details

NPI number
Authorized official
MATT WALTON (EXECUTIVE OFFICER)
(310) 314-6200
Entity
Organization

Contact information

Practice address
909 PICO BLVD, SANTA MONICA, CA 90405-1326
(310) 314-6200
(310) 450-2024
Mailing address
909 PICO BLVD, SANTA MONICA, CA 90405-1326
(310) 314-6200
(310) 450-2024

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
08/19/2014
Last updated
09/02/2025
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