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CRC CALIFORNIA RD INC NPI 1174788954


NPI Information

NPI: 1174788954
Provider Name: CRC CALIFORNIA RD INC

Doing Business As: ECHO MALIBU TREATMENT CENTER

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
6323 VIA ESCONDIDO DR
MALIBU, CA
ZIP 90265
Phone: (310) 589-2090
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CRC CALIFORNIA RD INC 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. CRC CALIFORNIA RD INC NPI is 1174788954. The provider is registered as an organization entity type.
The provider Is Doing Business As Echo Malibu Treatment Center.

The provider's business location address is:

6323 VIA ESCONDIDO DR
MALIBU, CA
ZIP 90265-484
Phone: (310) 589-2090

The provider's authorized official is Cole Rucker .
The authorized official title is Clinic Director and has the following contact phone number (310) 589-2090.

The enumeration date for this NPI number is 7/22/2008 and was last updated on 7/22/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility198205781CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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