| Organization Name: | TARZANA TREATMENT CENTERS, INC. |
| NPI Number: | 1073951216 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALBERT SENELLA (PRESIDENT/CHIEF OPERATING OFFICER) |
| Mailing Address: | 18646 Oxnard St Tarzana |
| State: | CA US |
| Postal Code: | 913561411 |
| Phone Number: | 8186543815 |
| Fax Number: | |
| NPI Enumeration Date: | 06/10/2013 |
| NPI Last Update Date: | 04/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |