| Tarzana Treatment Centers, Inc. | |
|
7101 Baird Ave Reseda CA 91335-4150 | |
| (800) 996-1051 | |
| Not Available |
| Full Name | Tarzana Treatment Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 7101 Baird Ave, Reseda, California |
| Authorized Official Name and Position | Albert Senella (PRESIDENT/ CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8186543815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tarzana Treatment Centers, Inc. 18646 Oxnard St Tarzana CA 91356-1411 Ph: (818) 996-1051 | Tarzana Treatment Centers, Inc. 7101 Baird Ave Reseda CA 91335-4150 Ph: (800) 996-1051 |
| NPI Number | 1891449989 |
|---|---|
| Provider Enumeration Date | 02/08/2022 |
| Last Update Date | 02/08/2022 |
| Certification Date | 02/08/2022 |
| Medicare PECOS PAC ID | 5991897845 |
|---|---|
| Medicare Enrollment ID | O20210202001777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891449989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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