| NPI | 1780928515 |
|---|---|
| Doing Business As | PENNY LANE CENTERS |
| Entity Type | Organization |
| Authorized Contact | ROSANA LA FIANZA Director Of Clinic Operations 818-892-3423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2013-08-02 |