THE CANYON AT PEACE PARK LLC NPI 1437310695

NPI Information

THE CANYON AT PEACE PARK, 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. THE CANYON AT PEACE PARK, LLC NPI is 1437310695. The provider is registered as an organization entity type.

The provider's business location address is:

2900 S. KANAN DUME ROAD
MALIBU, CA
ZIP 90265-792
Phone: (310) 457-3209
Fax: (310) 457-4440

The provider's authorized official is Kathleen Bigsby .
The authorized official title is Chief Executive Officer and has the following contact phone number (310) 457-3209.

The enumeration date for this NPI number is 6/20/2008 and was last updated on 8/6/2009.

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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