Behavioral Health Solutions of Malibu, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

BEHAVIORAL HEALTH SOLUTIONS OF MALIBU, LLC

Doing business as

Broad Beach Retreat

Practice address

31217 Bailard Rd
Malibu, CA 90265-2605

Phone

(310) 721-4474

NPI assigned

Nov 20, 2017

Last updated

Oct 4, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Edward Donahue

Title

Cfo and Authorized Official

Phone

(928) 668-4232

Specialties & licenses 1

Addresses

Other names 1

• Broad Beach Retreat Doing business as

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1144734625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19820 N. 7TH STREET",
            "address_2": "SUITE 205, ATTN: FINANCE DEPT",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850241688",
            "telephone_number": "928-684-4039",
            "fax_number": "623-581-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31217 BAILARD RD",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902652605",
            "telephone_number": "310-721-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH SOLUTIONS OF MALIBU, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "DONAHUE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CFO AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "928-668-4232",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broad Beach Retreat",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in Malibu, CA
• Providers in Malibu, 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 Oct 4, 2018; 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.