MALIBU CALIFORNIA MODEL DRUG TREATMENT CENTER INC NPI 1821375973

NPI Information

MALIBU CALIFORNIA MODEL DRUG TREATMENT CENTER, INC is a substance abuse rehabilitation facility in Agoura Hills, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. MALIBU CALIFORNIA MODEL DRUG TREATMENT CENTER, INC NPI is 1821375973. The provider is registered as an organization entity type.
The provider Is Doing Business As Inspire Malibu.

The provider's business location address is:

3875 KANAN RD
AGOURA HILLS, CA
ZIP 91301-210
Phone: (818) 707-7100

The provider's authorized official is Anastasia Roma Sarkar .
The authorized official title is Ceo and has the following contact phone number (818) 292-9213.

The CLIA number assigned to this NPI record is 05D2104026 - other - drug & alco rehab ctr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2011 and was last updated on 5/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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