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MALIBU BEHAVIORAL HEALTH SERVICES INC NPI 1225452691


NPI Information

NPI: 1225452691
Provider Name: MALIBU BEHAVIORAL HEALTH SERVICES, INC

Doing Business As: 'SOUTH CALIFORNIA ROAD TO RECOVERY'

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
7057 GASKIN PL
RIVERSIDE, CA
ZIP 92506
Phone: (951) 776-8869
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MALIBU BEHAVIORAL HEALTH SERVICES, INC is a substance abuse rehabilitation facility in Riverside, 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 BEHAVIORAL HEALTH SERVICES, INC NPI is 1225452691. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As 'south California Road To Recovery'.

The provider's business location address is:

7057 GASKIN PL
RIVERSIDE, CA
ZIP 92506-615
Phone: (951) 776-8869
Fax: (951) 215-0881

The provider's authorized official is Angelika Panova .
The authorized official title is Case Management and has the following contact phone number (714) 887-3816.

The enumeration date for this NPI number is 2/6/2014 and was last updated on 4/12/2017.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WC0400XRegistered NurseCase Management804708CALIFORNIANo
2163WA0400XRegistered NurseAddiction (Substance Use Disorder)804708CALIFORNIANo
3106H00000XMarriage & Family Therapist49586CALIFORNIANo
4324500000XSubstance Abuse Rehabilitation Facility330128APCALIFORNIAYes

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: 5/5/2024

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