Westside Sober Living Centers, INC
Psychiatric Residential Treatment Facility in Malibu, CA. Organization (NPI-2).
NPI number1669923124
StatusActive
Last updated in NPPESJan 12, 2017
Details
- NPI
- 1669923124
- Entity type
- Organization (NPI-2)
- Legal business name
- Westside Sober Living Centers, INC
- Organization subpart
- Yes
- Enumeration date
- Oct 20, 2016
- Last updated
- Jan 12, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 323P00000X | Psychiatric Residential Treatment Facility | 197608528 | CA | Yes |
| 323P00000X | Psychiatric Residential Treatment Facility | 198601437 | CA |
Other names
- Promises Malibu Vista (Doing Business As)
Practice location
20786 Cool Oak WayMalibu, CA 90265-5318
Phone 424-235-2337 · Fax 310-943-0438
Mailing address
Po Box 670549Dallas, TX 75267-0549
Phone 615-567-7282 · Fax 615-261-8912
Authorized official
Cheryl Maplesden
Sr Director Rcm
6155103708
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