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MALIBU LIGHTHOUSE TREATMENT CENTERS NPI 1528201498


NPI Information

NPI: 1528201498
Provider Name: MALIBU LIGHTHOUSE TREATMENT CENTERS

Doing Business As: AVALON RANCH

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
12517 YERBA BUENA RD
MALIBU, CA
ZIP 90265
Phone: (310) 457-8067
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MALIBU LIGHTHOUSE TREATMENT CENTERS 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. MALIBU LIGHTHOUSE TREATMENT CENTERS NPI is 1528201498. The provider is registered as an organization entity type.
The provider Is Doing Business As Avalon Ranch.

The provider's business location address is:

12517 YERBA BUENA RD
MALIBU, CA
ZIP 90265-107
Phone: (310) 457-8067

The provider's authorized official is Peggy Locke .
The authorized official title is Claims Administrator and has the following contact phone number (805) 488-5159.

The enumeration date for this NPI number is 4/8/2009 and was last updated on 4/8/2009.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility190612APCALIFORNIAYes

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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