Organization
THE VILLA OUTPATIENT SEVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIA FRABOTTA (CEO)
(818) 571-8946
Entity
Organization
Contact information
Practice address
4463 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-2911
(818) 571-8946
Mailing address
4463 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-2911
(818) 571-8946
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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