Organization
PACIFIC LODGE YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA E ALEGRIA (PRESIDENT CEO)
(818) 657-3104
Entity
Organization
Contact information
Practice address
4900 SERRANIA AVE, WOODLAND HILLS, CA 91364-3301
(818) 657-3104
(818) 347-0184
Mailing address
4900 SERRANIA AVE, WOODLAND HILLS, CA 91364-3301
(818) 657-3104
(818) 347-0184
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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