Malibu Tms
Clinic/Center, Mental Health (Including Community Mental Health Center) in Malibu, CA. Organization (NPI-2).
NPI number1316612591
StatusActive
Last updated in NPPESAug 10, 2021
Details
- NPI
- 1316612591
- Entity type
- Organization (NPI-2)
- Legal business name
- Malibu Tms
- Organization subpart
- No
- Enumeration date
- Aug 10, 2021
- Certification date
- Aug 10, 2021
- Last updated
- Aug 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
28955 Pacific Coast Hwy Ste 250Malibu, CA 90265-3953
Phone 310-579-5192
Mailing address
30765 Pacific Coast Hwy Ste 135Malibu, CA 90265-3643
Authorized official
Jared Valentine
Manager
3105795192
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