Healthcare Provider Details

I. General information

NPI: 1275405953
Provider Name (Legal Business Name): ALL AMERICAN TREATMENT CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21822 SHERMAN WAY STE 200
CANOGA PARK CA
91303-1938
US

IV. Provider business mailing address

21822 SHERMAN WAY STE 200
CANOGA PARK CA
91303-1938
US

V. Phone/Fax

Practice location:
  • Phone: 626-614-7545
  • Fax:
Mailing address:
  • Phone: 626-614-7545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: NATASHA LAKMINI PERERA
Title or Position: ASSISTANT CLINICAL DIRECTOR
Credential: LMFT
Phone: 626-614-7545