MEDICARE: THE TEEN PROJECT, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1194677880
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE TEEN PROJECT, INC.

Provider Business Mailing Address
First Line	:	8142 SUNLAND BLVD
Second Line	:
City	:	SUN VALLEY
State	:	CA
Zip	:	91352-3948
Country	:	US
Telephone Number	:	818-582-8832
Fax Number	:	818-582-8836

Provider Business Practice Location Address
First Line	:	8142 SUNLAND BLVD
Second Line	:
City	:	SUN VALLEY
State	:	CA
Zip	:	91352-3948
Country	:	US
Telephone Number	:	818-582-8832
Fax Number	:	818-582-8836

Authorized Official
Title or Position	:	CEO
Name	:	LAURI LYNNE BURNS
Credential	:
Telephone Number	:	818-582-8832

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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