GRASSHOPPER HOUSE LLC NPI 1790942159

NPI Information

GRASSHOPPER HOUSE, 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. GRASSHOPPER HOUSE, LLC NPI is 1790942159. The provider is registered as an organization entity type.
The provider Is Doing Business As Passages.

The provider's business location address is:

6428 MEADOWS CT
MALIBU, CA
ZIP 90265-492
Phone: (310) 589-2880
Fax: (310) 589-2869

The provider's authorized official is Marina Jo Mahoney .
The authorized official title is Coo and has the following contact phone number (310) 589-2880.

The CLIA number assigned to this NPI record is 05D2117990 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/21/2008 and was last updated on 10/1/2015.

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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