Healthcare Provider Details
I. General information
NPI: 1366366882
Provider Name (Legal Business Name): ACADIA MALIBU, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
26928 PACIFIC COAST HWY UNIT ABCD
MALIBU CA
90265-4359
US
IV. Provider business mailing address
30765 PACIFIC COAST HWY # 135
MALIBU CA
90265-3646
US
V. Phone/Fax
- Phone: 888-595-0235
- Fax:
- Phone: 310-579-5192
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 324500000X |
| Taxonomy | Substance Abuse Rehabilitation Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JARED
JAMES
VALENTINE
Title or Position: CEO
Credential:
Phone: 310-579-5192