Healthcare Provider Details

I. General information

NPI: 1720903487
Provider Name (Legal Business Name): TARZANA TREATMENT CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5166 ATLANTIC AVE
LONG BEACH CA
90805-6510
US

IV. Provider business mailing address

18646 OXNARD ST
TARZANA CA
91356-1411
US

V. Phone/Fax

Practice location:
  • Phone: 800-996-1051
  • Fax:
Mailing address:
  • Phone: 818-654-3815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ALBERT SENELLA
Title or Position: PRESIDENT/ CHIEF EXECUTIVE OFFICER
Credential:
Phone: 818-654-3815