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Organization
TARZANA TREATMENT CENTERS, INC.
Active
Organization
TARZANA TREATMENT CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT SENELLA (PRESIDENT/CHIEF OPERATING OFFICER)
(818) 654-3815
Entity
Organization
Contact information
Practice address
320 E PALMDALE BLVD, PALMDALE, CA 93550-4598
(818) 996-1051
(818) 996-3051
Mailing address
18646 OXNARD ST, TARZANA, CA 91356-1411
(818) 654-3815
(818) 996-3051
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/07/2011
Last updated
12/22/2020
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