Organization
CRC CALIFORNIA RD, INC.
Active
Other names
ECHO Malibu
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW YOUNG LMFT (DIRECTOR OF OPERATIONS)
(310) 589-2090
Entity
Organization
Contact information
Practice address
20600 EAGLEPASS DR, MALIBU, CA 90265-5211
(310) 589-2090
(310) 589-5040
Mailing address
PO BOX 2911, MALIBU, CA 90265-7911
(310) 589-2090
(310) 589-5040
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
198205839
CA
324500000X
Substance Abuse Rehabilitation Facility
198205839
CA
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
198205839
CA
Other
Enumeration date
09/14/2007
Last updated
10/26/2010
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