institution
Malaika House
Children's Substance Abuse Rehabilitation Facility in East Palo Alto, California
NPI 1083041636

Malaika House is a Children's Substance Abuse Rehabilitation Facility based in East Palo Alto, CA and is specialized in Substance Abuse Treatment, Children. Malaika House practices in East Palo Alto, CA. The NPI Number for Malaika House is 1083041636 and holds a License No. 410027BN (California).

The current practice location address for Malaika House is 819 & 823 Jamie Lane, East Palo Alto, CA and can be reached out via phone at 650-462-6999 and via fax at 650-462-1055.

Location: 819 & 823 Jamie Lane, East Palo Alto, CA, 94303
institution
Provider Profile Details
NPI Number
1083041636
Provider Name
Malaika House
Credential
Provider Entity Type
Organization
Address
819 & 823 Jamie Lane, East Palo Alto, CA, 94303
Phone Number
650-462-6999
Fax Number
650-462-1055
Provider Enumeration Date
09/27/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
410027BN 01 CA REHABILITATION SERVICES
institution
Provider Business Practice Location Address Details
Address
819 & 823 Jamie Lane
City
State
Zip
94303
Phone Number
650-462-6999
Fax Number
650-462-1055
person
Provider Business Mailing Address Details
Address
819 & 823 Jamie Lane
City
State
Zip
94303
Phone Number
650-462-6999
Fax Number
650-462-1055
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
License No.
410027BN (California)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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