CMJ Recovery Ca LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

CMJ RECOVERY CA LLC

Doing business as

Vogue Recovery Center

Practice address

4960 Vanalden Ave
Tarzana, CA 91356-4718

Phone

(412) 874-8157

NPI assigned

Jun 30, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kylee Briney

Title

Executive Director

Phone

(949) 531-1821

Specialties & licenses 1

Addresses

Other names 1

• Vogue Recovery Center Doing business as

Tax ID family

CMJ Recovery Ca LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• CMJ Recovery Ca LLC

  dba Malibu Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Studio City, CA
  • NPI 1770270415
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1104443779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 AVENUE OF THE STATES STE 102",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087016205",
            "telephone_number": "847-345-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4960 VANALDEN AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564718",
            "telephone_number": "412-874-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMJ RECOVERY CA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "BRINEY",
        "authorized_official_first_name": "KYLEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "949-531-1821"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vogue Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vogue Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.