NPI 1063798965
Malibu California Model Drug Treatment Center,inc
Practice location
- Address
- 30101 Agoura CT STE 103, Agoura Hills, CA 91301-4301
- Phone
- (818) 532-6243
- Fax
- (818) 532-6244
Authorised official
- Name
- Irina Shmeleva
- Title
- Cfo
- Phone
- (818) 585-0027
Registered specialties (3)
Substance Use Disorder Rehabilitation Hospital Unit
Primary
Community/Behavioral Health Agency
Substance Abuse Rehabilitation Facility
Registry record
- NPI
- 1063798965
- Entity type
- Organization
- NPI issued
- 24 Oct 2011
- Record last updated
- 18 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.