Organization · Type 2 NPI

Passages Malibu Php, LLC

Substance Abuse Rehabilitation Facility · Venice, CA

NPI number 1356726913 Active

Practice location

1728 Abbot Kinney Blvd, #103
Venice, CA 90291-4839

Mailing address

6428 Meadows Ct
Malibu, CA 90265-4492

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X190835AP (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.

2 other providers at this address

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About NPI 1356726913

Passages Malibu Php, LLC's National Provider Identifier is 1356726913, issued on Jul 24, 2015. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Venice, CA. The record was last updated on Jul 24, 2015.