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Page 1 of 35
County of Imperial
Substance Use Disorder Treatment Services
Provider Directory
Large Font
This provider directory, along with information about SUD
treatment services, is available online at
http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=SUDdir
or by request at (800) 817-5292.
July 2020
http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=SUDdir
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Page 2 of 35
LANGUAGE ASSISTANCE
English ATTENTION: If you speak another language, language
assistance services, free of charge, are available to you. Call
1-800-817-5292 (TTY: 1-800-539-8868).
ATTENTION: Auxiliary aids and services, including but not
limited to large print documents and alternative formats, are
available to you free of charge upon request. Call 1-800-817-5292
(TTY: 1-800-539-8868).
Español (Spanish) ATENCIÓN: Si habla español, tiene a su
disposición servicios gratuitos de asistencia lingüística. Llame al
1-800-817-5292 (TTY: 1-800-539-8868).
Tiếng Việt (Vietnamese) CHÚ Ý: Nếu bạn nói Tiếng Việt, có các
dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số
1-800-817-5292 (TTY: 1-800-539-8868).
Tagalog (Tagalog ̶ Filipino) PAUNAWA: Kung nagsasalita ka ng
Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang
walang bayad. Tumawag sa 1-800-817-5292 (TTY: 1-800-539-8868).
한국어 (Korean)
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-800-817-5292
(TTY: 1-
800-539-8868) 번으로 전화해 주십시오.
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Page 3 of 35
繁體中文(Chinese)
注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-800-817-5292 (TTY:
1-800-539-8868).
Հայերեն (Armenian)
ՈՒՇԱԴՐՈՒԹՅՈՒՆ՝ Եթե խոսում եք հայերեն, ապա ձեզ անվճար կարող են
տրամադրվել լեզվական
աջակցության ծառայություններ: Զանգահարեք 1-800-817-5292 (TTY:
1-800-539-8868).
Русский (Russian) ВНИМАНИЕ: Если вы говорите на русском языке,
то вам доступны бесплатные услуги перевода. Звоните 1-800-817-5292
(TTY: 1-800-539-8868).
(Farsi) فارسی کنید، تسهیالت زبانی بصورت رایگان برای شما: اگر به
زبان فارسی گفتگو می توجه
تماس بگیرید. (TTY: 1-800-539-8868) 5292-817-800-1فراهم می باشد.
با
日本語 (Japanese)
注意事項：日本語を話される場合、無料の言語支援をご利用いただけます。1-800-817-5292 (TTY:
1-800-
539-8868) まで、お電話にてご連絡ください。
Hmoob (Hmong) LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab
txog lus, muaj kev pab dawb rau koj. Hu rau 1-800-817-5292 (TTY:
1-800-539-8868).
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Page 4 of 35
ਪੰਜਾਬੀ (Punjabi)
ਧਿਆਨ ਧਿਓ: ਜੇ ਤੁਸ ੀਂ ਪੰਜਾਬ ਬੋਲਿ ੇਹੋ, ਤਾੀਂ ਭਾਸ਼ਾ ਧ ਿੱਚ ਸਹਾਇਤਾ ਸੇ ਾ
ਤੁਹਾਡੇ ਲਈ ਮੁਫਤ ਉਪਲਬਿ ਹੈ। [1-800-817-5292] (TTY: [1-800-
539-8868]) 'ਤੇ ਕਾਲ ਕਰ।ੋ
(Arabic) العربية-1)رقم هاتف الصم والبكم: 5292-817-800-1ملحوظة:
إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك
بالمجان. اتصل برقم
800-539-8868
ह िंदी (Hindi)
ध्यान दें : यदद आप द िंदी बोलते ैं तो आपके दलए मुफ्त में भाषा स
ायता सेवाएिं उपलब्ध ैं। [1-800-817-5292] (TTY: [1-800-539-
8868]) पर कॉल करें।
ภาษาไทย (Thai) เรียน:
ถา้คณุพูดภาษาไทยคณุสามารถใชบ้รกิารชว่ยเหลือทางภาษาไดฟ้รี โทร
1-800-817-5292 (TTY: 1-800-539-8868).
ខ្មែរ (Cambodian)
ប្រយ័ត្ន៖ ររ ស ើ ិិនជាអ្នកនិយាយ ភាសាខ្មែ , រ វាជំនួយមននកភាសា
សោយមិនគិត្្ិ ួិលន
គឺអាចមាន ំោ ិ ិំររ អ្្សិើ នក។ ចូ ទូ ័ព្ទ1-800-817-5292 (TTY:
1-800-539-8868)។
ພາສາລາວ (Lao)
ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວ ້ າພາສາ ລາວ, ການບໍ ລິ ການຊ່ວຍເຫື ិ
ອດ້ານພາສາ, ໂດຍບ່ໍເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ
1-800-817-5292 (TTY: 1-800-539-8868).
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Page 5 of 35
PLEASE NOTE:
“Services may be delivered by an individual provider, or a team
of providers, who is working under the direction of a Licensed
practitioner operating within their scope of practice. Only
Licensed, waivered, or
registered mental health providers and licensed substance use
disorder services providers are listed on the Plan’s provider
directory.”
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Page 6 of 35
County-Operated Substance Use Disorders (SUD) Treatment
Authorization or referral may be required to access some
providers.
Outpatient Office Based
Provider: El Centro Adult Substance Use Disorder Treatment
Program
Address: 2695 S. 4th St., 2nd Floor El Centro, CA 92243
Website:
http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=adultalc
Phone: (442) 265-1525 or 1-800-817-5292
Accessible to people with physical disabilities: Yes
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Bushra Ahmad, MD
Medical License #A73057
NPI # 1043356850
Specialty: State of California Medical Board of California
Certified
Adults Non-Perinatal – Outpatient Drug
Free (ODF) &
Intensive Outpatient
Program (IOP)
Yes *Sign Language
upon request
*Other languages
upon request
American, Hispanic,
Asian/Pacific Islander, Pakistani,
Alaskan/Native American,
African American, Older
Adult, LGBT,
Yes
http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=adultalc
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Page 7 of 35
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Mental Health Client, Family of Mental Health
Client, Disabled
Laura Escalera, AMFT Associate # 105228 NPI # 1699922104
Specialty: CA Board of Behavioral Science-Associate Marriage and
Family Therapist
Adults Non-Perinatal – Outpatient Drug
Free (ODF) &
Intensive Outpatient
Program (IOP)
Yes Spanish
*Sign Language
upon request
*Other languages
upon request
American, Hispanic, African
American, LGBT, Mental Health Client,
Family of Mental Health
Client, Disabled
Yes
Rodolfo Mercado, ACSW Associate # 81287 NPI # 1356890248
Adults Non-Perinatal – Outpatient Drug
Free (ODF) &
Intensive
Yes Spanish
*Sign Language
upon request
American Indian/Alaskan Native, Black/
African American,
Hispanic/Latino,
Yes
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Page 8 of 35
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Specialty: CA Board of Behavioral Science-Associate Clinical
Social Worker
Outpatient Program (IOP)
*Other languages
upon request
Older Adults, LGBTQ, White, Mental Health Clients, Family
Members of Substance Use
Disorder Clients,
Disabled
Sonia Becerra, AMFT Associate # 98059 NPI # 1417343849
Specialty: CA Board of Behavioral Science-Associate Marriage and
Family Therapist
Adults Non-Perinatal – Outpatient Drug
Free (ODF) &
Intensive Outpatient
Program (IOP)
Yes Spanish
*Sign Language
upon request
*Other languages
upon request
American Indian/Alaskan Native, Black/
African American,
Hispanic/Latino, Older Adults,
LGBTQ, White, Mental Health Clients, Family
Members of Mental Health
Clients,
Yes
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Page 9 of 35
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Substance Use Disorder
Clients, Family Members of
Substance Use Disorder Clients,
Disabled
Yes
Eufemio Anaya, AMFT Associate # 92740 NPI # 1487849345
Specialty: CA Board of Behavioral Science-Associate Marriage and
Family Therapist
Adults Non-Perinatal – Outpatient Drug
Free (ODF) &
Intensive Outpatient Progr
am (IOP)
Yes
Spanish
*Sign Language
upon request
*Other languages
upon request
American, Hispanic,
Alaskan/Native American,
African American, Older
Adult, LGBT, Mental Health
Client, Family of Mental Health
Client
Yes
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Page 10 of 35
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Brandon Bridgeman, AMFT Associate # 10002 NPI # 1235653668
Specialty: CA Board of Behavioral Science-Associate Marriage and
Family Therapist
Adults Non-Perinatal – Outpatient Drug
Free (ODF) &
Intensive Outpatient
Program (IOP)
Yes *Sign Language
upon request
*Other languages
upon request
American Indian/Alaskan
Native, Asian/Pacific
Islander, Black/ African
American, Hispanic/Latino,
Older Adults, LGBTQ, White, Mental Health Clients, Family
Members of Mental Health
Clients, Substance Use
Disorder Clients, Family
Members of Substance Use Disorder Clients
No
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Page 11 of 35
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Andrea Saldivar, ACSW
Associate # 78560
NPI # 1538519327
Specialty: CA Board of Behavioral Science-Associate Clinical
Social Worker
Adults Non-Perinatal – Outpatient Drug
Free (ODF) &
Intensive
Yes *Sign Language
upon request
*Other languages
upon request
American, Hispanic, African
American, Older Adult, LGBT, Mental Health
Client, Family of Mental Health
Client
Yes
Norma Munoz-Sedano, AMFT Associate # 116614 NPI #1578126405
Specialty: CA Board of Behavioral Science-Associate Marriage and
Family Therapist
Adults Non-Perinatal – Outpatient Drug
Free (ODF) &
Intensive Outpatient
Program (IOP
Yes Spanish
*Sign Language
upon request
*Other languages
upon request
American, Hispanic, African
American, Older Adult, LGBTQ, Mental Health
Client, Family of Mental Health
Client
Yes
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Page 12 of 35
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Services may be delivered by an individual provider, or a team
of providers, who is working under the direction of a Licensed
practitioner operating within their scope of practice. Only
Licensed, waivered, or registered mental health providers and
licensed substance use disorder services providers are listed on
the Plan’s provider directory.
Adults Non-Perinatal – Outpatient Drug
Free (ODF) &
Intensive
Yes *Sign Language
upon request
*Other languages
upon request
American, Hispanic,
Asian/Pacific Islander, Pakistani,
Alaskan/Native American,
African American, Older
Adult, LGBT, Mental Health
Client, Family of Mental Health
Client, Disabled
Yes
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Page 13 of 35
Outpatient Office Based
Provider: El Centro Adolescent Substance Use Disorder Treatment
Program
Address: 1295 W. State Street Suites 101-106 El Centro, CA
92243
Website:
http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf
Phone: (442) 265-1525 or 1-800-817-5292
Accessible to people with physical disabilities: Yes
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Bushra Ahmad, MD Medical License # A73057 NPI # 1043356850
Specialty: State of California Medical Board of California
Certified
Adolescents Non-Perinatal – Outpatient Drug
Free (ODF) &
Intensive Outpatient
Program (IOP)
Yes *Sign Language
upon request
*Other languages
upon request
American, Hispanic,
Asian/Pacific Islander, Pakistani,
Alaskan/Native American,
African American, Older
Adult, LGBT, Mental Health
Client, Family of Mental Health
Client, Disabled
Yes
http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf
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Page 14 of 35
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Julie Luna, AMFT Associate #: 110189 NPI # 1780045369 Specialty:
CA Board of Behavioral Science-Associate Marriage & Family
Therapist
Adolescents Non-Perinatal – Outpatient Drug
Free (ODF) &
Intensive Outpatient
Program (IOP)
Yes *Sign Language
upon request
*Other languages
upon request
American Indian/Alaskan Native, Black/
African American, Hispanic/
Latino, Older Adults, LGBTQ, White, Mental Health Clients,
Family Members of
Mental Health Clients,
Disabled, Substance Use
Disorder Clients, Family
Members of Substance Use Disorder Clients
Yes
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Page 15 of 35
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Melissa Sosa-Gomez, ACSW License # 91937 NPI # 1437783552
Specialty: CA Board of Behavioral Science- Associate Clinical
Social Worker
Adolescents Non-Perinatal – Outpatient Drug
Free (ODF) &
Intensive Outpatient
Program (IOP)
Yes Spanish
*Sign Language
upon request
*Other languages
upon request
Older Adults, LGBTQ, White, Mental Health Clients, Family
Members of Mental Health
Clients, Disabled,
Substance Use
Yes
Sarai Jazek, ACSW License # 92285 NPI # 1538643911 Specialty: CA
Board of Behavioral Science- Associate Clinical Social Worker
Adolescents Non-Perinatal – Outpatient Drug
Free (ODF) &
Intensive Outpatient
Program (IOP)
Yes Spanish
*Sign Language
upon request
*Other languages
upon request
Older Adults, LGBTQ, White, Mental Health Clients, Family
Members of Mental Health
Clients, Disabled,
Substance Use
Yes
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Page 16 of 35
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Services may be delivered by an individual provider, or a team
of providers, who is working under the direction of a Licensed
practitioner operating within their scope of practice. Only
Licensed, waivered, or registered mental health providers and
licensed substance use disorder services providers are listed on
the Plan’s provider directory.
Adolescents Non-Perinatal – Outpatient Drug
Free (ODF) &
Intensive Outpatient
Program (IOP)
Yes *Sign Language
upon request
*Other languages
upon request
American Indian/Alaskan Native, Black/
African American, Hispanic/
Latino, Older Adults, LGBTQ, White, Mental Health Clients,
Family Members of
Mental Health Clients,
Disabled, Substance Use
Disorder Clients, Family
Members of Substance Use Disorder Clients
Yes
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Page 17 of 35
Contracted Substance Use Disorders (SUD) Treatment Providers
For referrals and verification that the contracted SUD treatment
providers listed below are accepting new
Medi-Cal beneficiaries, please contact the Access Unit at
1-800-817-5292.
Narcotic Treatment Providers
Provider: Imperial Valley Medical Clinic, Inc.
Address: 535 W. Cesar Chavez Blvd., Calexico, CA 92231
Website:
Phone: (760) 357-6566
Accessible to people with physical disabilities: Yes
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Lucian Oprea, MD License # A92196 NPI # 1033329792 Specialty:
State of California Medical Board of California Certified
Perinatal, Adults
Narcotic Treatment
Program (NTP)
Yes
Spanish
French
Romanian
American Veterans, older Adults, LGBTQ, Indian/Alaskan
Native, Black/African
Hispanic/Latino Substance Use Disorder Clients
Yes
-
Page 18 of 35
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Freddy Carreno, NP License # 14151 NPI # 1144420928 Specialty:
California Board of Registered Nursing - Nurse Practitioner
Perinatal, Adults
Narcotic Treatment
Program (NTP)
Yes Spanish American Veterans, older Adults, LGBTQ,
Indian/Alaskan
Native, Black/African
Hispanic/Latino Substance Use Disorder Clients
Yes
Services may be delivered by an individual provider, or a team
of providers, who is working under the direction of a Licensed
practitioner operating within their scope of practice. Only
Licensed, waivered, or registered mental health providers and
licensed
Perinatal, Adults
Narcotic Treatment
Program (NTP)
Yes Spanish
French
Romanian
American Veterans, older Adults, LGBTQ, Indian/Alaskan
Native, Black/African
Hispanic/Latino Substance Use Disorder Clients
Yes
-
Page 19 of 35
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
substance use disorder services providers are listed on the
Plan’s provider directory.
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Page 20 of 35
Narcotic Treatment Providers
Provider: Medical Treatment Center
Address: 200 S. 5th St., El Centro, CA 92243
Website:
Phone: (760) 482-0864
Accessible to people with physical disabilities: Yes
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Lucian Oprea, MD License # A92196 NPI # 1033329792 Specialty:
State of California Medical Board of California Certified
Perinatal, Adults
Narcotic Treatment
Program (NTP)
Yes Spanish
French
Romanian
American Veterans, older Adults, LGBTQ, Indian/Alaskan
Native, Black/African
Hispanic/Latino Substance Use Disorder Clients
Yes
Freddy Carreno, NP License # 14151 NPI # 1144420928
Perinatal, Adults
Narcotic Treatment
Program (NTP)
Yes Spanish American Veterans, older Adults, LGBTQ,
Indian/Alaskan
Native, Black/African
Yes
-
Page 21 of 35
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Specialty: California Board of Registered Nursing - Nurse
Practitioner
Hispanic/Latino Substance Use Disorder Clients
Services may be delivered by an individual provider, or a team
of providers, who is working under the direction of a Licensed
practitioner operating within their scope of practice. Only
Licensed, waivered, or registered mental health providers and
licensed substance use disorder services providers are listed on
the Plan’s provider directory.
Perinatal, Adults
Narcotic Treatment
Program (NTP)
Yes Spanish
French
Romanian
American Veterans, older Adults, LGBTQ, Indian/Alaskan
Native, Black/African
Hispanic/Latino Substance Use Disorder Clients
Yes
-
Page 22 of 35
County-Operated Substance Use Disorders (SUD) Treatment
Authorization or referral may be required to access some
providers.
Residential Treatment Program
Provider: Tarzana Treatment Centers, Inc. Address: 44447 North
10th Street West, Building B, Lancaster, CA 93534 Website:
www.tarzanatc.org
Phone: 800-996-1051 Accessible to people with physical
disabilities: Yes
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Tawnny Haymond, Senior Supervisor, Licensed Marriage and Family
Therapist (LFMT) License # 98623 NPI # 1558679217
Adults Residential Rehabilitation
Yes Sign Language and
/or other languages
upon request
Adults, Transition Age
Youth, Perinatal Women,
Lesbian, Gay, Bisexual,
Transgender
Yes
http://www.tarzanatc.org/
-
Page 23 of 35
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Specialty: Licensed Marriage and Family Therapist
Services may be delivered by an individual provider, or a team
of providers, who is working under the direction of a Licensed
practitioner operating within their scope of practice. Only
Licensed, waivered, or registered mental health providers and
licensed substance use disorder services providers are listed on
the Plan’s provider directory.
Adults Residential Rehabilitation
Yes Sign Language and
/or other languages
upon request
Adults, Transition Age
Youth, Perinatal Women,
Lesbian, Gay, Bisexual,
Transgender
Yes
-
Page 24 of 35
Residential Treatment Program
Provider: Tarzana Treatment Centers, Inc. Address: 44447 North
10th Street West, Building C, Lancaster, CA 93534 Website:
www.tarzanatc.org
Phone: 800-996-1051 Accessible to people with physical
disabilities: Si
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Doreen McCandless, Licensed Marriage and Family Therapist (LFMT)
License # 91281 NPI # 1699951517 Specialty: Licensed Marriage and
Family Therapist
Youth Residential Rehabilitation
Yes Sign Language and
/or other languages
upon request
Youth, Transition aged youth, Lesbian, Gay, Bisexual,
Transgender
Yes
http://www.tarzanatc.org/
-
Page 25 of 35
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Nicole Tracy, Licensed Marriage and Family Therapist (LFMT)
License # 111251 NPI # 1376070607 Specialty: Licensed Marriage and
Family Therapist
Youth Residential Rehabilitation
Yes Sign Language and
/or other languages
upon request
Youth, Transition aged youth, Lesbian, Gay, Bisexual,
Transgender
Yes
Kayla Baron, Associate Marriage and Family Therapist (LFMT)
License # 114620 NPI # 1588295729
Youth Residential Rehabilitation
Yes Sign Language and
/or other languages
upon request
Youth, Transition aged youth, Lesbian, Gay, Bisexual,
Transgender
No
-
Page 26 of 35
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Specialty: Associate Marriage and Family Therapist
Services may be delivered by an individual provider, or a team
of providers, who is working under the direction of a Licensed
practitioner operating within their scope of practice. Only
Licensed, waivered, or registered mental health providers and
licensed substance use disorder services providers are listed on
the Plan’s provider directory.
Youth Residential Rehabilitation
Yes Sign Language and
/or other languages
upon request
Youth, Transition aged youth, Lesbian, Gay, Bisexual,
Transgender
Yes
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Page 27 of 35
Residential Treatment Program
Provider: Tarzana Treatment Centers, Inc. Address: 18646 Oxnard
St., Tarzana, CA 91356 Website: www.tarzanatc.org
Phone: 800-996-1051 Accessible to people with physical
disabilities: Yes
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-
Cal Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
E. Duane Carmalt, M.D. Medical Director License # G23973 NPI #
1952597627 Specialty: Internal Medicine
Adults Withdrawal Management
Yes Sign Language and /or other languages upon request
Adults, Lesbian, Gay, Bisexual, Transgender
Yes
http://www.tarzanatc.org/
-
Page 28 of 35
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-
Cal Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Desiree Gonzales-Long, Licensed Marriage and Family Therapist
(LMFT) License # LMFT47138 NPI # 1841202066 Specialty: Licensed
Marriage and Family Therapist
Adults
Residential Rehabilitation
Yes Sign Language and /or other languages upon request
Adults, Perinatal women, Lesbian, Gay, Bisexual, Transgender
Veterans
Yes
Lilian Vai, Clinical Supervisor License # 82038 NPI # 1386111425
Specialty: Licensed Clinical Social Worker
Adults
Withdrawal Management
Yes Sign Language and /or other languages upon request
Adults, Lesbian, Gay, Bisexual, Transgender Veterans
Yes
-
Page 29 of 35
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-
Cal Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Keith Star, Licensed Marriage and Family Therapist (LMFT)
License # LMFT28743 NPI # 1174836951 Specialty: Licensed Marriage
and Family Therapist
Adults
Withdrawal Management
Yes Sign Language and /or other languages upon request
Adults, Lesbian, Gay, Bisexual, Transgender Veterans
Yes
Antionette Olivarez, Registered Nurse License # 486075 NPI #
1679016133 Specialty: Registered Nurse
Adults
Withdrawal Management
Yes Sign Language and /or other languages upon request
Adults, Perinatal women, Lesbian, Gay, Bisexual, Transgender
Yes
-
Page 30 of 35
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-
Cal Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Maribel Alarejos, Registered Nurse License # 655869 NPI #
1285027169 Specialty: Registered Nurse
Adults
Withdrawal Management
Yes Sign Language and
/or other languages
upon request
Adults, Perinatal women,
Lesbian, Gay, Bisexual,
Transgender
Yes
Laurie Benstein, Registered Nurse License # 234888 NPI #
1700279874 Specialty: Registered Nurse
Adults
Withdrawal Management
Yes Sign Language and
/or other languages
upon request
Adults, Perinatal women,
Lesbian, Gay, Bisexual,
Transgender
Yes
Nelly Christoff, Registered Nurse
Adults
Withdrawal Management
Yes Sign Language and
/or other
Adults, Perinatal women,
Yes
-
Page 31 of 35
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-
Cal Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
License # 719462 NPI # 1851587935 Specialty: Registered
Nurse
languages upon request
Lesbian, Gay, Bisexual,
Transgender
Services may be delivered by an individual provider, or a team
of providers, who is working under the direction of a Licensed
practitioner operating within their scope of practice. Only
Licensed, waivered, or registered mental health providers and
licensed substance use disorder services providers are listed on
the Plan’s provider directory.
Adults Withdrawal Management
Yes Sign Language and /or other languages upon request
Adults, Lesbian, Gay, Bisexual, Transgender
Yes
-
Page 32 of 35
Residential Treatment Program
Provider: Tarzana Treatment Centers, Inc. Address: 2101 Magnolia
Avenue, Long Beach, CA 90806 Website: www.tarzanatc.org
Phone: 800-996-1051 Accessible to people with physical
disabilities: Yes
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal
Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Corine Charm, M.D License # LMFT #52333 NPI # 1679827588
Specialty: Doctor of Philosophy
Adults Residential Rehabilitation
Yes Sign Language and
/or other languages
upon request
Lesbian, Gay, Bisexual,
Transgender Older Adults
Transition Age Youth
Veterans
Yes
http://www.tarzanatc.org/
-
Page 33 of 35
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal
Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Lauren Elise Dibbs, Director, Licensed Marriage and Family
Therapist (LFMT) License # MFC 50797 NPI # 1639403017 Specialty:
Licensed Marriage and Family Therapist
Adults Residential Rehabilitation
Yes Sign Language and
/or other languages
upon request
Lesbian, Gay, Bisexual,
Transgender Older Adults
Transition Age Youth
Veterans
Yes
Elizabeth Zarate-Rowell, M.D., Psychiatrist
License # A53142
NPI # 1992830236
Adults Residential Rehabilitation
Yes Spanish Lesbian, Gay, Bisexual,
Transgender Older Adults
Transition Age Youth
Veterans
Yes
-
Page 34 of 35
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal
Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Specialty: M.D., Psychiatrist
Ann Abraham, Nurse Practitioner License # 95005144 NPI #
1447795182 Specialty: Family Nurse Practitioner
Adults Residential Rehabilitation
Yes Sign Language and
/or other languages
upon request
Lesbian, Gay, Bisexual,
Transgender Older Adults
Transition Age Youth
Veterans
Yes
-
Page 35 of 35
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal
Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Services may be delivered by an individual provider, or a team
of providers, who is working under the direction of a Licensed
practitioner operating within their scope of practice. provider
directory. Only Licensed, waivered, or registered mental health
providers and licensed substance use disorder services providers
are listed on the Plan’s
Adults Residential Rehabilitation
Yes Sign Language and
/or other languages
upon request
Lesbian, Gay, Bisexual,
Transgender Older Adults
Transition Age Youth
Veterans
Yes
