Organization
PENNY LANE CENTERS
Active
Other names
Penny Lane Centers-Main Facility
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
15302 RAYEN ST, NORTH HILLS, CA 91343-5118
(800) 864-0402
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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