| Renewal Behavioral Health Outpatient | |
|
2890 Kanan Dume Road Malibu CA 90265 | |
| (818) 299-3602 | |
| (805) 830-1565 |
| Full Name | Renewal Behavioral Health Outpatient |
|---|---|
| Speciality | Psychiatric Residential Treatment Facility |
| Location | 2890 Kanan Dume Road, Malibu, California |
| Authorized Official Name and Position | Joann Zuniga (DIRECTOR) |
| Authorized Official Contact | 8056160719 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewal Behavioral Health Outpatient 203 S Orange Dr Los Angeles CA 90036-3010 Ph: (805) 702-4273 | Renewal Behavioral Health Outpatient 2890 Kanan Dume Road Malibu CA 90265 Ph: (818) 299-3602 |
| NPI Number | 1902438393 |
|---|---|
| Provider Enumeration Date | 02/04/2020 |
| Last Update Date | 09/01/2020 |
| Certification Date | 08/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902438393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 323P00000X | Psychiatric Residential Treatment Facility | (* (Not Available)) | Primary |
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