| Evolve Treatment Centers - Aura | |
|
5435 Aura Avenue Tarzana CA 91356 | |
| (424) 281-5000 | |
| Not Available |
| Full Name | Evolve Treatment Centers - Aura |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 5435 Aura Avenue, Tarzana, California |
| Authorized Official Name and Position | Eddy Lai (CONTROLLER) |
| Authorized Official Contact | 7723619705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Treatment Centers - Aura 820 Moraga Dr Los Angeles CA 90049 Ph: (424) 281-5000 | Evolve Treatment Centers - Aura 5435 Aura Avenue Tarzana CA 91356 Ph: (424) 281-5000 |
| NPI Number | 1669906020 |
|---|---|
| Provider Enumeration Date | 04/12/2017 |
| Last Update Date | 08/20/2020 |
| Certification Date | 08/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669906020 | NPI | - | NPPES |
| 198209615 | Other | CA | STATE LICENSE |
| 05D2146074 | Other | CA | CLIA |
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