Crc California Rd, INC.
Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children in Malibu, CA. Organization (NPI-2).
NPI number1417143280
StatusActive
Last updated in NPPESOct 26, 2010
Details
- NPI
- 1417143280
- Entity type
- Organization (NPI-2)
- Legal business name
- Crc California Rd, INC.
- Organization subpart
- No
- Enumeration date
- Sep 14, 2007
- Last updated
- Oct 26, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3245S0500X | Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | 198205839 | CA | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | 198205839 | CA | |
| 323P00000X | Psychiatric Residential Treatment Facility | 198205839 | CA |
Other names
- Echo Malibu (Other Name)
Practice location
20600 Eaglepass DrMalibu, CA 90265-5211
Phone 310-589-2090 · Fax 310-589-5040
Mailing address
Po Box 2911Malibu, CA 90265-7911
Phone 310-589-2090 · Fax 310-589-5040
Authorized official
Andrew Young
Director Of Operations
3105892090
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