Provider Demographics
NPI:1467005934
Name:SEASONS RECOVERY CENTERS, LLC.
Entity Type:Organization
Organization Name:SEASONS RECOVERY CENTERS, LLC.
Other - Org Name:THE BEACH COTTAGE AT SEASONS IN MALIBU
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHILATI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-395-1015
Mailing Address - Street 1:31739 PACIFIC COAST HWY
Mailing Address - Street 2:
Mailing Address - City:MALIBU
Mailing Address - State:CA
Mailing Address - Zip Code:90265-2643
Mailing Address - Country:US
Mailing Address - Phone:424-235-2012
Mailing Address - Fax:
Practice Address - Street 1:32052 PACIFIC COAST HWY
Practice Address - Street 2:
Practice Address - City:MALIBU
Practice Address - State:CA
Practice Address - Zip Code:90265-2507
Practice Address - Country:US
Practice Address - Phone:424-395-1015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SEASONS RECOVERY CENTERS, LLC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-23
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health