Organization
MALIBU BEACH RECOVERY CENTER, LLC
Active
Parent organization
RIVERMEND HEALTH, LLC
Other names
Malibu Beach Recovery Center - Brentwood House
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERMEND HEALTH, LLC
Authorized official
JEAN ANN DOCKERY (DIRECTOR OF RCM)
(678) 813-0505
Entity
Organization
Contact information
Practice address
101 S SALTAIR AVE, LOS ANGELES, CA 90049-4114
(678) 813-0505
(678) 813-0505
Mailing address
2300 WINDY RIDGE PKWY #210 SOUTH, ATLANTA, GA 30339
(678) 813-0505
(678) 813-0505
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190562CP
CA
Other
Enumeration date
07/20/2017
Last updated
09/08/2017
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