Carrara Beach House
Substance Abuse Rehabilitation Facility in Malibu, CA. Organization (NPI-2).
NPI number1841978251
StatusActive
Last updated in NPPESJun 3, 2024
Details
- NPI
- 1841978251
- Entity type
- Organization (NPI-2)
- Legal business name
- Carrara Beach House
- Organization subpart
- No
- Enumeration date
- Jul 6, 2023
- Certification date
- Jul 6, 2023
- Last updated
- Jun 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Practice location
31652 Broad Beach RdMalibu, CA 90265-2617
Phone 424-421-6610 · Fax 213-334-4100
Mailing address
1814 Marcheeta PlLos Angeles, CA 90069-1116
Phone 424-421-6610 · Fax 213-334-4100
Authorized official
Daniel Christian
Cfo
2057122153
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