institution
Polaris Teen Center, Llc
Children's Substance Abuse Rehabilitation Facility in Tarzana, California
NPI 1295144921

Polaris Teen Center, Llc is a Children's Substance Abuse Rehabilitation Facility based in Tarzana, CA and is specialized in Substance Abuse Treatment, Children. Polaris Teen Center, Llc practices in Tarzana, CA. The NPI Number for Polaris Teen Center, Llc is 1295144921 and holds a License No. 198208336 (California).

The current practice location address for Polaris Teen Center, Llc is 4981 Amigo Ave, Tarzana, CA and can be reached out via phone at 818-616-8650.

Location: 4981 Amigo Ave, Tarzana, CA, 91356-4505
institution
Provider Profile Details
NPI Number
1295144921
Provider Name
Polaris Teen Center, Llc
Credential
Provider Entity Type
Organization
Address
4981 Amigo Ave, Tarzana, CA, 91356-4505
Phone Number
818-616-8650
Fax Number
Provider Enumeration Date
08/06/2014
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4981 Amigo Ave
City
State
Zip
91356-4505
Phone Number
818-616-8650
Fax Number
person
Provider Business Mailing Address Details
Address
4981 Amigo Ave
City
State
Zip
91356-4505
Phone Number
818-616-8650
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
198208336 (California)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
198208336 (California)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
License No.
198208336 (California)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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