Malibu Outpatient INC
NPI #1225587629 in Malibu, California
Provider Information
- NPI Number
- 1225587629
- Entity Type
- Organization
- Organization Name
- Malibu Outpatient INC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Sep 26, 2016
- Last Updated
- Sep 26, 2016
Practice Location
- Address
- 28955 PACIFIC COAST HWY
- Address 2
- STE 210
- City
- Malibu
- State
- California
- ZIP Code
- 90265-3953
- Phone
- (310) 579-6063
Authorized Official
- Name
- EVAN HAINES
- Title
- CEO
- Phone
- (310) 579-6063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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