| Tarzana Treatment Center | |
|
907 W Lancaster Blvd Lancaster CA 93534-2305 | |
| (661) 726-2630 | |
| Not Available |
| Full Name | Tarzana Treatment Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 907 W Lancaster Blvd, Lancaster, California |
| Authorized Official Name and Position | Franco Puquiz Entila (MFT INTERN) |
| Authorized Official Contact | 6617262630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tarzana Treatment Center 3625 Lyons Dr Rosamond CA 93560-6696 Ph: () - | Tarzana Treatment Center 907 W Lancaster Blvd Lancaster CA 93534-2305 Ph: (661) 726-2630 |
| NPI Number | 1093939431 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093939431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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