Whalio Doctors

NPI 1033669338

Penny Lane Centers

Organisation Mental Illness Community Based Residential Treatment Facility Burbank, CA

Practice location

Address
1610 N Valley St, Burbank, CA 91505-1714
Phone
(818) 568-2508
Mailing address
15305 Rayen St, North Hills, CA 91343-5117

Authorised official

Name
Rosana La Fianza
Title
Director of Clinic Operations
Phone
(818) 892-3423

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X Licence 191202002 (CA)

Registry record

NPI
1033669338
Entity type
Organization
NPI issued
11 Oct 2016
Record last updated
16 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.