| Manifest Sylvan Operation, Llc | |
|
22703 Sylvan St Woodland Hills CA 91367-1625 | |
| (818) 963-9319 | |
| Not Available |
| Full Name | Manifest Sylvan Operation, Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 22703 Sylvan St, Woodland Hills, California |
| Authorized Official Name and Position | Julie Barron (COO) |
| Authorized Official Contact | 9514528536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manifest Sylvan Operation, Llc 22647 Ventura Blvd Ste 446 Woodland Hills CA 91364-1416 Ph: (310) 905-4424 | Manifest Sylvan Operation, Llc 22703 Sylvan St Woodland Hills CA 91367-1625 Ph: (818) 963-9319 |
| NPI Number | 1053978874 |
|---|---|
| Provider Enumeration Date | 05/28/2019 |
| Last Update Date | 08/31/2020 |
| Certification Date | 08/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053978874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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