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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