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MALIBU BEACH RECOVERY CENTER LLC NPI 1801319967


NPI Information

NPI: 1801319967
Provider Name: MALIBU BEACH RECOVERY CENTER, LLC

Other Name: MALIBU BEACH RECOVERY CENTER - BRENTWOOD HOUSE

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
101 S SALTAIR AVE
LOS ANGELES, CA
ZIP 90049
Phone: (678) 813-0505
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MALIBU BEACH RECOVERY CENTER, LLC is a substance abuse rehabilitation facility in Los Angeles, 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 BEACH RECOVERY CENTER, LLC NPI is 1801319967. The provider is registered as an organization entity type.
The provider Other Name Is Malibu Beach Recovery Center - Brentwood House.

The provider's business location address is:

101 S SALTAIR AVE
LOS ANGELES, CA
ZIP 90049-114
Phone: (678) 813-0505
Fax: (678) 813-0505

The provider's authorized official is Jean Ann Dockery .
The authorized official title is Director Of Rcm and has the following contact phone number (678) 813-0505.

The enumeration date for this NPI number is 7/20/2017 and was last updated on 9/8/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility190562CPCALIFORNIAYes

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: 4/28/2024

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