| NPI | 1871043166 |
|---|---|
| Other Name | PENNY LANE CENTERS-SATELLITE V |
| Entity Type | Organization |
| Authorized Contact | ROSANA LA FIANZA Director Of Clinic Operations 818-892-3423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 191202002) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-16 |