Bella La Vita Company
Substance Abuse Rehabilitation Facility in Malibu, CA. Organization (NPI-2).
NPI number1972807402
StatusActive
Last updated in NPPESDec 23, 2010
Details
- NPI
- 1972807402
- Entity type
- Organization (NPI-2)
- Legal business name
- Bella La Vita Company
- Organization subpart
- No
- Enumeration date
- Dec 23, 2010
- Last updated
- Dec 23, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | 190688AP | CA | Yes |
Other names
- Journey Malibu (Doing Business As)
Practice location
22516 Carbon Mesa RdMalibu, CA 90265-5019
Phone 310-456-2551
Mailing address
22516 Carbon Mesa RdMalibu, CA 90265-5019
Phone 310-456-2551
Authorized official
Peggy J Locke
Claims Administrator
8056482570
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