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CRC CALIFORNIA RD INC. NPI 1417143280


NPI Information

NPI: 1417143280
Provider Name: CRC CALIFORNIA RD, INC.

Other Name: ECHO MALIBU

Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
20600 EAGLEPASS DR
MALIBU, CA
ZIP 90265
Phone: (310) 589-2090
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CRC CALIFORNIA RD, INC. is a substance abuse treatment and children 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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. CRC CALIFORNIA RD, INC. NPI is 1417143280. The provider is registered as an organization entity type.
The provider Other Name Is Echo Malibu.

The provider's business location address is:

20600 EAGLEPASS DR
MALIBU, CA
ZIP 90265-211
Phone: (310) 589-2090
Fax: (310) 589-5040

The provider's authorized official is Andrew Young .
The authorized official title is Director Of Operations and has the following contact phone number (310) 589-2090.

The enumeration date for this NPI number is 9/14/2007 and was last updated on 10/26/2010.


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 Facility198205839CALIFORNIANo
2323P00000XPsychiatric Residential Treatment Facility198205839CALIFORNIANo
33245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children198205839CALIFORNIAYes

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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