Organization
POLARIS TEEN CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARI BROWN (CEO)
(818) 616-8650
Entity
Organization
Contact information
Practice address
4981 AMIGO AVE, TARZANA, CA 91356-4505
(818) 616-8650
Mailing address
4981 AMIGO AVE, TARZANA, CA 91356-4505
(818) 616-8650
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
198208336
CA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
198208336
CA
3245S0500X
Children's Substance Abuse Rehabilitation Facility
198208336
CA
Other
Enumeration date
08/06/2014
Last updated
01/11/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us