Healther Providers Data Logo

05D2280089 CLIA NUMBER - PARADIGM MALIBU PCH

Laboratory Demographics

CLIA Number: 05D2280089

Facility Name: PARADIGM MALIBU PCH

Facility Address:
27407 PACIFIC COAST HWY
MALIBU, CA
ZIP 90265
Get Directions

Facility Phone Number: 310 457-6300

Facility Type: Other - RESIDENTIAL TREATMENT FAC

Certificate Type: Waiver
NPI Number: 1912506064

Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

CLIA Record

Field Name Field Value
CLIA Number 05D2280089
LAB Type Other - RESIDENTIAL TREATMENT FAC
Facility Name PARADIGM MALIBU PCH
Street 27407 PACIFIC COAST HWY
City MALIBU
State CA
ZIP 90265
Phone 310 457-6300
CertificateType 4
CertificateEffectiveDate 4/12/2023
CertificateExpirationDate 4/11/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024