Organization
TARZANA TREATMENT CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT SENELLA (PRESIDENT/ CHIEF EXECUTIVE OFFICER)
(818) 654-3815
Entity
Organization
Contact information
Practice address
5190 ATLANTIC AVE, LONG BEACH, CA 90805-6510
(818) 996-1051
Mailing address
18646 OXNARD ST, TARZANA, CA 91356-1411
(818) 996-1051
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251X00000X
Supports Brokerage Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
190085NN
CA
3336C0002X
Clinic Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054148
NPPES OSCAR CORRECTION
CA
Enumeration date
02/22/2007
Last updated
02/07/2022
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