PENNY LANE CENTERS NPI 1962952267

NPI Information

NPI: 1962952267
Provider Name: PENNY LANE CENTERS

Other Name: PENNY LANE CENTERS-SATELLITE VII

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
9630 WILBUR AVE
NORTHRIDGE, CA
ZIP 91324
Phone: (818) 349-8812
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PENNY LANE CENTERS is a community based residential treatment facility mental illness in Northridge, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. PENNY LANE CENTERS NPI is 1962952267. The provider is registered as an organization entity type.
The provider Other Name Is Penny Lane Centers-satellite Vii.

The provider's business location address is:

9630 WILBUR AVE
NORTHRIDGE, CA
ZIP 91324-853
Phone: (818) 349-8812

The provider's authorized official is Rosana La Fianza .
The authorized official title is Director Of Clinic Operations and has the following contact phone number (818) 892-3423.

The enumeration date for this NPI number is 10/11/2016 and was last updated on 10/16/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		191202002	CALIFORNIA	Yes

What is NPI?

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This page was last updated on: 4/28/2024

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