Provider Demographics
NPI:1205011582
Name:TFSC-ENCINO
Entity Type:Organization
Organization Name:TFSC-ENCINO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:
Authorized Official - Last Name:SKARLATO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:818-833-9789
Mailing Address - Street 1:13741 FOOTHILL BLVD STE 270
Mailing Address - Street 2:
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342-3150
Mailing Address - Country:US
Mailing Address - Phone:818-833-9789
Mailing Address - Fax:818-833-9790
Practice Address - Street 1:16260 VENTURA BLVD STE 309
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2276
Practice Address - Country:US
Practice Address - Phone:818-906-7643
Practice Address - Fax:818-906-7641
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOTAL FAMILY SUPPORT CLINIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-04
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder