Individual provider · Type 1 NPI
Lance Aaron Kennedy
Substance Abuse Rehabilitation Facility · Tarzana, CA
NPI number
1104661925
Active
Practice location
18811 Redwing St
Tarzana, CA 91356-3341
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Another provider at this address
About NPI 1104661925
Lance Aaron Kennedy's National Provider Identifier is 1104661925, issued on Jun 25, 2024. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Tarzana, CA. The record was last updated on Jun 25, 2024.