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Organization

PENNY LANE CENTERS

Active
Other names
Penny Lane Centers-Satellite X
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ROSANA LA FIANZA MBA (DIRECTOR OF CLINIC OPERATIONS)
(818) 892-3423
Entity
Organization

Contact information

Practice address
6329 CLYBOURN AVE, NORTH HOLLYWOOD, CA 91606-3915
(818) 760-4252
Mailing address
15305 RAYEN ST, NORTH HILLS, CA 91343-5117
(818) 892-3423
(818) 892-3574

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
191202002
CA

Other

Enumeration date
10/11/2016
Last updated
10/16/2016
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