CMJ RECOVERY CA LLC NPI 1770270415

NPI Information

  • NPI: 1770270415
  • Provider Name: CMJ RECOVERY CA LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: MALIBU RECOVERY CENTER
  • CLIA Number: 05D2304931
  • Address: 12532 VENTURA BLVD
    STUDIO CITY, CA
    ZIP 91604
  • Phone: (949) 531-1821

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NPI Details

CMJ RECOVERY CA LLC is a substance abuse rehabilitation facility in Studio City, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. CMJ RECOVERY CA LLC NPI is 1770270415. The provider is registered as an organization entity type.
The provider Is Doing Business As Malibu Recovery Center.

The provider's business location address is:

12532 VENTURA BLVD
STUDIO CITY, CA
ZIP 91604-412
Phone: (949) 531-1821

The provider's authorized official is Kylee Briney .
The authorized official title is Executive Director and has the following contact phone number (949) 531-1821.

The CLIA number assigned to this NPI record is 05D2304931 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/21/2023 and was last updated on 11/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

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This page was last updated on: 3/30/2025

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