Organization
TARZANA TREATMENT CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM SORG (DIRECTOR OF IT)
(818) 654-3911
Entity
Organization
Contact information
Practice address
907 W LANCASTER BLVD, LANCASTER, CA 93534-2305
(661) 723-4829
Mailing address
18646 OXNARD ST, TARZANA, CA 91356
(818) 996-1051
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
12/22/2020
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