BEHAVIORAL HEALTH SOLUTIONS OF MALIBU LLC NPI 1144734625

NPI Information

BEHAVIORAL HEALTH SOLUTIONS OF MALIBU, LLC is a substance abuse rehabilitation facility in Malibu, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. BEHAVIORAL HEALTH SOLUTIONS OF MALIBU, LLC NPI is 1144734625. The provider is registered as an organization entity type.
The provider Is Doing Business As Broad Beach Retreat.

The provider's business location address is:

31217 BAILARD RD
MALIBU, CA
ZIP 90265-605
Phone: (310) 721-4474

The provider's authorized official is Edward Donahue .
The authorized official title is Cfo And Authorized Official and has the following contact phone number (928) 668-4232.

The CLIA number assigned to this NPI record is 05D2155573 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2017 and was last updated on 10/4/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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