Organization · Type 2 NPI
Penny Lane Centers
Mental Illness Community Based Residential Treatment Facility · North Hollywood, CA
NPI number
1114477411
Active
Practice location
6329 Clybourn Ave
North Hollywood, CA 91606-3915
Mailing address
15305 Rayen St
North Hills, CA 91343-5117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 191202002 (CA) |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
About NPI 1114477411
Penny Lane Centers's National Provider Identifier is 1114477411, issued on Oct 11, 2016. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in North Hollywood, CA. The record was last updated on Oct 16, 2016.