# TARZANA TREATMENT CENTERS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285930396
- **Authorized official:** ALBERT SENELLA (PRESIDENT/CHIEF OPERATING OFFICER)
- **Authorized official phone:** (818) 654-3815

## Contact information

- **Practice address:** 320 E PALMDALE BLVD, PALMDALE, CA 93550-4598
- **Practice address phone:** (818) 996-1051
- **Practice address fax:** (818) 996-3051
- **Mailing address:** 18646 OXNARD ST, TARZANA, CA 91356-1411
- **Mailing address phone:** (818) 654-3815
- **Mailing address fax:** (818) 996-3051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 02/07/2011
- **Last updated:** 12/22/2020