| Pacific Lodge Youth Services | |
|
4900 Serrania Ave Woodland Hills CA 91364-3301 | |
| (818) 657-3104 | |
| (818) 347-0184 |
| Full Name | Pacific Lodge Youth Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4900 Serrania Ave, Woodland Hills, California |
| Authorized Official Name and Position | Lisa E Alegria (PRESIDENT CEO) |
| Authorized Official Contact | 8186573104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Lodge Youth Services 4900 Serrania Ave Woodland Hills CA 91364-3301 Ph: (818) 657-3104 | Pacific Lodge Youth Services 4900 Serrania Ave Woodland Hills CA 91364-3301 Ph: (818) 657-3104 |
| NPI Number | 1902930332 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902930332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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