| Tarzana Treatment Center | |
|
8330 Reseda Blvd Northridge CA 91324-4619 | |
| (818) 996-1051 | |
| Not Available |
| Full Name | Tarzana Treatment Center |
|---|---|
| Speciality | Counselor |
| Location | 8330 Reseda Blvd, Northridge, California |
| Authorized Official Name and Position | Lorraine Ragosta (CLINICAL SUPERVISOR) |
| Authorized Official Contact | 8185431820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tarzana Treatment Center 13535 Valerio St Apt 258 Van Nuys CA 91405-2723 Ph: (818) 618-6097 | Tarzana Treatment Center 8330 Reseda Blvd Northridge CA 91324-4619 Ph: (818) 996-1051 |
| NPI Number | 1730630591 |
|---|---|
| Provider Enumeration Date | 10/17/2016 |
| Last Update Date | 10/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730630591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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