National Provider Identifier Database

MALIBU BEACH RECOVERY CENTER LLC
Substance Abuse Disorder 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.


Contact Information

MALIBU BEACH RECOVERY CENTER, LLC
101 S SALTAIR AVE
LOS ANGELES, CA90049-4114
Phone: 678-813-0505
Fax: 678-813-0505
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for MALIBU BEACH RECOVERY CENTER, LLC

NPI Number 1801319967
Legal business name
LBN
MALIBU BEACH RECOVERY CENTER, LLC
Authorized official JEAN DOCKERY - (DIRECTOR OF RCM)
Entity Organization
Organization subpart Yes
Enumeration date 07/20/2017
Last updated 09/08/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 190562CP

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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