Organization · Type 2 NPI

Westside Sober Living Centers, Inc.

Substance Abuse Rehabilitation Facility · Malibu, CA

NPI number 1174946552 Active

Practice location

20725 Rockcroft Dr
Malibu, CA 90265-5343

Call (310) 239-2340 Map

Mailing address

PO Box 670549
Dallas, TX 75267-0549

Specialties and licenses

Taxonomy	Code	License
Psychiatric Residential Treatment Facility	323P00000X	None listed
Substance Abuse Rehabilitation Facility Primary	324500000X	190625AP (CA)

Substance Abuse Rehabilitation Facility: 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.

Another provider at this address

David A Sack MD A Professional Medical CorporationAddiction Psychiatry Physician Malibu, CA NPI 1457899494

Other substance abuse rehabilitation facility providers in Malibu

See all in Malibu →

NPI record

NPI: 1174946552
Entity type: Organization (Type 2)
Issued: Jan 21, 2014
Last updated: Jan 12, 2017
Status: Active
Subpart: Yes of Elements Behavioral Health, Inc.

Other names

<unavail>
Promises Malibu · other name

Authorized official

Ms. Cheryl Maplesden, CPC, CHC, CHPC
Director, Revenue Cycle
(615) 510-3708

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174946552

Westside Sober Living Centers, Inc.'s National Provider Identifier is 1174946552, issued on Jan 21, 2014. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Malibu, CA. The record was last updated on Jan 12, 2017.