Organization
COMMUNINTY ALCOHOL & DRUG FOUNDATION
Active
Parent organization
PENNY LANE
Other names
Van Nuys Treatment Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENNY LANE
Authorized official
MS. ELIZABETH J MACIAS B.A. LIBERAL STUDIES (EXECUTIVE DIRECTOR)
(818) 787-4151
Entity
Organization
Contact information
Practice address
15317 RAYEN ST, NORTH HILLS, CA 91343-5117
(818) 787-4151
(818) 787-2840
Mailing address
15015 OXNARD ST, VAN NUYS, CA 91411-2613
(818) 787-4151
(818) 787-2840
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190327AP
CA
Other
Enumeration date
03/05/2009
Last updated
03/05/2009
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