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RWI935342 TARZANA TREATMENT CENTERS, INC. (Active)
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Main Details
Name
TARZANA TREATMENT CENTERS, INC.
Subdivision Name
HIV CLINIC
Type
Ryan White Part A
340B ID
RWI935342
Grant Number
H76HA00791
Additional Details
Current Program Status
Active
Registration Date
6/30/2011
Participating Start Date
7/1/2011
Participating Approval Date
6/30/2011
Last Recertification Date
2/27/2025
Time Period the Assistance was Received
4/1/2022 - 3/31/2025
Contacts
Authorizing Official
Tarzana Treatment Centers, Inc.
ALBERT M. SENELLA, PRESIDENT AND CEO
(818) 654-3815
Primary Contact
Tarzana Treatment Centers, Inc.
Wendy De Santiago, Administrative Manager
(818) 654-3815
Addresses
Street Address
907 W. LANCASTER BLVD
LANCASTER, CA 93534
Billing Address
TARZANA TREATMENT CENTERS, INC.
18646 OXNARD STREET
TARZANA, CA 91356
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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June 2025
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