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
18646 OXNARD ST, TARZANA, CA 91356-1411
(818) 654-3815
Mailing address
18646 OXNARD ST, TARZANA, CA 91356-1411
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
06/10/2013
Last updated
02/28/2022
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