Organization
VILLA CALIFORNIA TREATMENT CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA KOCH (ADMINISTRATOR/CFO)
(818) 397-8190
Entity
Organization
Contact information
Practice address
5343 SHIRLEY AVE, TARZANA, CA 91356-2908
(800) 971-6553
Mailing address
5051 HOOD DR, WOODLAND HILLS, CA 91364-4713
(818) 397-8190
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
90865
CA
171M00000X
Case Manager/Care Coordinator
90865
CA
320800000X
Mental Illness Community Based Residential Treatment Facility
—
CA
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/12/2018
Last updated
02/22/2018
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