Healthcare Provider Details

I. General information

NPI: 1942133616
Provider Name (Legal Business Name): TREE HOUSE YOUTH HOMES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10336 MARY BELL AVE
SHADOW HILLS CA
91040-1502
US

IV. Provider business mailing address

10336 MARY BELL AVE
SHADOW HILLS CA
91040-1502
US

V. Phone/Fax

Practice location:
  • Phone: 323-470-2222
  • Fax:
Mailing address:
  • Phone: 323-470-2222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: TANYA M GRAZZIANI
Title or Position: EXECUTIVE DIRECTOR
Credential: MS
Phone: 323-497-2197