# PENNY LANE CENTER

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

## Provider details

- **NPI number:** 1932230620
- **Authorized official:** MRS. LYNNELL JANE HOLTBY MFT (RESIDENTIAL THERAPIST)
- **Authorized official phone:** (818) 892-3423

## Contact information

- **Practice address:** 15317 RAYEN ST, NORTH HILLS, CA 91343-5117
- **Practice address phone:** (818) 892-3423
- **Practice address fax:** (818) 893-4509
- **Mailing address:** 15317 RAYEN ST, NORTH HILLS, CA 91343-5117
- **Mailing address phone:** (818) 892-3423
- **Mailing address fax:** (818) 893-4509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 41129 | CA | Yes |

## Other

- **Enumeration date:** 03/07/2007
- **Last updated:** 08/22/2020