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Organization

COMMUNITY ALCOHOL & DRUG FOUNDATION

Active
Parent organization
PENNY LANS
Other names
Van Nuys Treatment Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
PENNY LANS
Authorized official
MS. ELIZABETH JADE MACIAS B.A. LIBERAL STUDIES (EXECUTIVE DIRECTOR)
(818) 787-4151
Entity
Organization

Contact information

Practice address
325 S LOS ANGELES ST, LOS ANGELES, CA 90013-1407
(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
251S00000X
Community/Behavioral Health Agency
Primary
190327AP
CA

Other

Enumeration date
02/27/2009
Last updated
02/27/2009
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