Passages Malibu Php, LLC
NPI #1356726913 in Venice, California
Provider Information
- NPI Number
- 1356726913
- Entity Type
- Organization
- Organization Name
- Passages Malibu Php, LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jul 24, 2015
- Last Updated
- Jul 24, 2015
Practice Location
- Address
- 1728 ABBOT KINNEY BLVD
- Address 2
- #103
- City
- Venice
- State
- California
- ZIP Code
- 90291-4839
- Phone
- (866) 619-7013
Authorized Official
- Name
- MARINA JO MAHONEY
- Title
- COO
- Phone
- (310) 589-2880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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