Lance Aaron Kennedy
Substance Abuse Rehabilitation Facility in Tarzana, CA. Individual provider (NPI-1).
NPI number1104661925
StatusActive
Last updated in NPPESJun 25, 2024
Details
- NPI
- 1104661925
- Entity type
- Individual (NPI-1)
- Name
- Lance Aaron Kennedy
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 25, 2024
- Certification date
- Jun 25, 2024
- Last updated
- Jun 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | CA | Yes |
Practice location
18811 Redwing StTarzana, CA 91356-3341
Phone 240-205-9462
Mailing address
18811 Redwing StTarzana, CA 91356-3341
Phone 240-205-9462
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All 35 Substance Abuse Rehabilitation Facility providers in Tarzana · All 3,038 providers in Tarzana
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