Healthcare Provider Details

I. General information

NPI: 1063339646
Provider Name (Legal Business Name): THE OASIS FOR YOUTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6300 CANOGA AVE STE 560
WOODLAND HILLS CA
91367-8044
US

IV. Provider business mailing address

6300 CANOGA AVE STE 560
WOODLAND HILLS CA
91367-8044
US

V. Phone/Fax

Practice location:
  • Phone: 818-428-0816
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: TRAVIS GEHRKE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 310-955-6932