Organization
CALSTON MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARZAAN SHIRAZI (OWNER)
(818) 515-7675
Entity
Organization
Contact information
Practice address
44661 CALSTON AVE, LANCASTER, CA 93535-3430
(818) 515-7675
Mailing address
9849 MELVIN AVE, NORTHRIDGE, CA 91324-1636
(818) 515-7675
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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