Premier Recovery Service, INC.
Clinic/Center, Adult Mental Health in Malibu, CA. Organization (NPI-2).
NPI number1629580709
StatusActive
Last updated in NPPESOct 30, 2017
Details
- NPI
- 1629580709
- Entity type
- Organization (NPI-2)
- Legal business name
- Premier Recovery Service, INC.
- Organization subpart
- No
- Enumeration date
- Oct 30, 2017
- Last updated
- Oct 30, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Practice location
29350 Pacific Coast Hwy Ste 12Malibu, CA 90265-3970
Phone 310-994-0506
Mailing address
29350 Pacific Coast Hwy Ste 12Malibu, CA 90265-3970
Phone 310-994-0506
Authorized official
Anahita Kia
Clinical Director
8183076255
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