Organization Name: | BELLA LA VITA COMPANY |
NPI Number: | 1972807402 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PEGGY J LOCKE (CLAIMS ADMINISTRATOR) |
Mailing Address: | 22516 Carbon Mesa Rd Malibu |
State: | CA US |
Postal Code: | 902655019 |
Phone Number: | 3104562551 |
Fax Number: | |
NPI Enumeration Date: | 12/23/2010 |
NPI Last Update Date: | 12/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | 190688AP |
Healthcare Provider Taxonomy: (Secondary) | Y |
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. |