Organization
TARZANA TREATMENT CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT SENELLA (PRESIDENT/ CHIEF EXECUTIVE OFFICER)
(818) 654-3815
Entity
Organization
Contact information
Practice address
44443 10TH ST W, LANCASTER, CA 93534-3346
(800) 996-1051
Mailing address
18646 OXNARD ST, TARZANA, CA 91356-1411
(800) 996-1051
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
190085JN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190085JN
CALIFORNIA DEPARTMENT OF ALCOHOL AND DRUG PROGRAMS CERTIFICATION
CA
05
—
CMM70739F
—
CA
Enumeration date
07/10/2009
Last updated
06/19/2023
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