Organization · Type 2 NPI

Malibu Beach Recovery Center, LLC

Substance Abuse Rehabilitation Facility · Los Angeles, CA

NPI number 1801319967 Active

Practice location

101 S Saltair Ave
Los Angeles, CA 90049-4114

Call (678) 813-0505 Map

Fax (678) 813-0505

Mailing address

2300 Windy Ridge Pkwy #210 South
Atlanta, GA 30339

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	190562CP (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.

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NPI record

NPI: 1801319967
Entity type: Organization (Type 2)
Issued: Jul 20, 2017
Last updated: Sep 8, 2017
Status: Active
Subpart: Yes of Rivermend Health, LLC

Other names

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Malibu Beach Recovery Center - Brentwood House · other name
Malibu Beach Recovery Center - Brentwood House · other name

Authorized official

Jean Ann Dockery
Director of RCM
(678) 813-0505

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About NPI 1801319967

Malibu Beach Recovery Center, LLC's National Provider Identifier is 1801319967, issued on Jul 20, 2017. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 8, 2017.