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Organization
TARZANA TREATMENT CENTER
Active
Organization
TARZANA TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE RAGOSTA LORRAINE RAGOSTA LMF (CLINICAL SUPERVISOR)
(818) 543-1820
Entity
Organization
Contact information
Practice address
8330 RESEDA BLVD, NORTHRIDGE, CA 91324-4619
(818) 996-1051
Mailing address
13535 VALERIO ST APT 258, VAN NUYS, CA 91405-2723
(818) 618-6097
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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