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
7101 BAIRD AVE, RESEDA, CA 91335-4150
(800) 996-1051
Mailing address
18646 OXNARD ST, TARZANA, CA 91356-1411
(818) 996-1051
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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