| NPI | 1801319967 |
|---|---|
| Other Name | MALIBU BEACH RECOVERY CENTER - BRENTWOOD HOUSE |
| Entity Type | Organization |
| Authorized Contact | JEAN ANN DOCKERY Director Of Rcm 678-813-0505 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190562CP) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2017-09-08 |