Manifest Valley Wellness, LLC
NPI #1568997633 in Tarzana, California
Provider Information
- NPI Number
- 1568997633
- Entity Type
- Organization
- Organization Name
- Manifest Valley Wellness, LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 26, 2017
- Last Updated
- Dec 4, 2019
Practice Location
- Address
- 18663 VENTURA BLVD
- Address 2
- SUITE 300
- City
- Tarzana
- State
- California
- ZIP Code
- 91356-4162
- Phone
- (818) 963-9319
Authorized Official
- Name
- BRIAN WEINER
- Title
- OWNER
- Phone
- (310) 905-4455
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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