Organization
MANIFEST VALLEY WELLNESS, LLC
Active
Organization
MANIFEST VALLEY WELLNESS, LLC
Active
Other names
Manifest Recovery Centers
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN WEINER (OWNER)
(310) 905-4455
Entity
Organization
Contact information
Practice address
18663 VENTURA BLVD, SUITE 300, TARZANA, CA 91356-4162
(818) 963-9319
(818) 657-7285
Mailing address
22647 VENTURA BLVD, UNIT 446, WOODLAND HILLS, CA 91364-1416
(310) 905-4455
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/26/2017
Last updated
12/04/2019
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