| Tarzana Treatment Centers, Inc. | |
|
12021 Wilmington Ave Ste 301 Building #18 Los Angeles CA 90059-3019 | |
| (800) 996-1051 | |
| Not Available |
| Full Name | Tarzana Treatment Centers, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12021 Wilmington Ave Ste 301, Los Angeles, California |
| Authorized Official Name and Position | Albert Senella (PRESIDENT/ CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8186543815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tarzana Treatment Centers, Inc. 18646 Oxnard St Tarzana CA 91356-1411 Ph: (818) 654-3815 | Tarzana Treatment Centers, Inc. 12021 Wilmington Ave Ste 301 Building #18 Los Angeles CA 90059-3019 Ph: (800) 996-1051 |
| NPI Number | 1649910365 |
|---|---|
| Provider Enumeration Date | 03/30/2022 |
| Last Update Date | 06/23/2022 |
| Certification Date | 06/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649910365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
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