Corral Canyon Recovery,LLC
Organization Active NPI Substance Abuse Rehabilitation Facility · Malibu, CA
NPI 1700634730 · NPPES record last updated May 6, 2024
Key facts
- NPI
- 1700634730
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- CORRAL CANYON RECOVERY,LLC
- Practice address
- 1752 Corral Canyon Rd
Malibu, CA 90265-2906 - Phone
- (714) 813-8116
- Fax
- (818) 301-2519
- NPI assigned
- May 6, 2024
- Organization subpart
- No
Authorized official
- Name
- Janaine Goncalves
- Title
- Coo
- Phone
- (714) 813-8116
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
1752 Corral Canyon Rd
Malibu, CA 90265-2906
Mailing address
4607 Lakeview Canyon Rd # 300
Westlake Village, CA 91361-4028
Phone (714) 813-8116
Other names
- First Responders Recovery Malibu
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.