Behavioral Health Solutions Of Malibu, LLC
Substance Abuse Rehabilitation Facility in Malibu, CA. Organization (NPI-2).
NPI number1144734625
StatusActive
Last updated in NPPESOct 4, 2018
Details
- NPI
- 1144734625
- Entity type
- Organization (NPI-2)
- Legal business name
- Behavioral Health Solutions Of Malibu, LLC
- Organization subpart
- No
- Enumeration date
- Nov 20, 2017
- Last updated
- Oct 4, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | CA | Yes |
Other names
- Broad Beach Retreat (Doing Business As)
Practice location
31217 Bailard RdMalibu, CA 90265-2605
Phone 310-721-4474
Mailing address
19820 N. 7th StreetSuite 205, Attn: Finance Dept
Phoenix, AZ 85024-1688
Phone 928-684-4039 · Fax 623-581-7624
Authorized official
Edward Donahue
Cfo And Authorized Official
9286684232
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