Organization Name: | CRC CALIFORNIA RD, INC. |
NPI Number: | 1417143280 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANDREW YOUNG (DIRECTOR OF OPERATIONS) |
Mailing Address: | 20600 Eaglepass Dr Malibu |
State: | CA US |
Postal Code: | 902655211 |
Phone Number: | 3105892090 |
Fax Number: | 3105895040 |
NPI Enumeration Date: | 09/14/2007 |
NPI Last Update Date: | 10/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | 198205839 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |