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by James Heller
20. October 2010 13:05
Tarzana Treatment Centers in Los Angeles is thrilled at the news that the Federal Drug Administration (FDA) has approved Vivitrol for use in opioid addiction treatment. The evidence was clear to us that Vivitrol reduced opiate cravings, but the FDA went one step further in approving it for the “prevention of relapse to opioid dependence.” This means that we can finally say what we’ve also known for a long time; Vivitrol prevents relapse.
Tarzana Treatment Centers offers Vivitrol for alcohol treatment and opiate treatment as part of our Medication Assisted Treatment (MAT) program. It is a Naltrexone injection taken monthly that reduces alcohol cravings and opiate cravings. This allows individuals in recovery to focus on addiction treatment, and offers a better chance at long-term recovery. For more information about the FDA approval and Vivitrol, click the link below for the press release by Vivitrol manufacturer, Alkermes.
http://www.marketwatch.com/story/alkermes-announces-fda-approval-of-vivitrolr-for-prevention-of-relapse-to-opioid-dependence-2010-10-12?reflink=MW_news_stmp
Tarzana Treatment Centers in Los Angeles provides a full array of health care services including adult and youth alcohol and drug treatment. We specialize in treatment for mental health and substance use disorders, and have two primary medical care clinics in the San Fernando Valley and Antelope Valley. If you or a loved one needs help with alcohol dependence, drug addiction, or co-occurring mental health disorders, please call us now at 800-996-1051 or contact us here.
Southern California Locations for Alcohol and Drug Treatment
Tarzana Treatment Centers has locations all over Southern California in Los Angeles County. Other than our central location in Tarzana, we have facilities in Lancaster in the Antelope Valley, Long Beach, and in Northridge and Reseda in the San Fernando Valley.
by James Heller
21. September 2010 14:42
Aging brings more than the typical physical problems form seniors. Most will survive family members and friends, and face other possible losses, causing depression or anxiety. Some, following a doctor’s orders, may risk harm with prescription drugs without knowing that they are doing so. Telemedicine, in these cases, seems to be a very compassionate gift from the medical community.
It commonly comes with longer life that family members and friends will pass on. As their generational companion list begins to shrink, depression and loneliness is inevitable. The regular reminders of their own mortality can also be a source of anxiety. In these tough financial times they may also lose property through foreclosure, or be swindled by unscrupulous individuals.
Grief and loss therapy and mental health treatment can help to minimize emotional pain, but the tendency is to decline because they don’t want to leave home or they are immobile. The pain will not improve without talking about it. So if they have no one to grieve with, they become more isolated, and sometimes turn to alcohol or drugs for relief.
Prescription drugs are often ordered for seniors to stabilize physical or emotional pain. Opiate pain killers and benzodiazepines can spell trouble, though, when individuals also use alcohol, take higher doses than prescribed, or use other medications. Isolation and substance use can feed on each other, leaving a once vibrant person alone and numb.
These are the lesser known forms of alcohol abuse and drug abuse, and can be helped with addiction treatment. However, it is quite rare for seniors to agree to enter drug treatment for the same reasons as above. Sadly, younger family members tend to condone substance use to “ease the pain” of aging, and don’t offer proper assistance. Every day is a risk that tragedy will strike by accident or drug overdose.
Telemedicine has the potential to improve the golden years for many individuals. They don’t need to leave home to get mental health treatment or drug treatment. There are specialists in both fields who work with seniors on related issues. Grief and loss specialists can ease individuals through these processes, minimizing the duration of emotional pain. Addiction treatment counselors can help them to see that drugs and alcohol add to problems if they are abused, and are never the solution for emotional pain.
Tarzana Treatment Centers in Los Angeles provides online therapy for mental health and drug addiction. Our online treatment is delivered using the LiveVisit application, powered by MDLiveCare. One only needs a computer with a webcam connected to the internet to participate. This makes treatment convenient, accessible, and affordable. Security is important in treatment, so LiveVisit runs behind several layers of encryption. Phone access is available for those without a computer.
Telemedicine at Tarzana Treatment Centers is not limited to online mental health treatment and drug addiction treatment. We also provide online medical care. Our goal is to see that those who need treatment can get it.
Tarzana Treatment Centers in Los Angeles provides a full array of health care services including adult and youth alcohol and drug treatment. We specialize in treatment for mental health and substance use disorders, and have two primary medical care clinics in the San Fernando Valley and Antelope Valley. If you or a loved one needs help with alcohol dependence, drug addiction, or co-occurring mental health disorders, please call us now at 800-996-1051 or contact us here.
Southern California Locations for Alcohol and Drug Treatment
Tarzana Treatment Centers has locations all over Southern California in Los Angeles County. Other than our central location in Tarzana, we have facilities in Lancaster in the Antelope Valley, Long Beach, and in Northridge and Reseda in the San Fernando Valley.
by James Heller
9. September 2010 13:21
Tarzana Treatment Centers in Los Angeles provides telemedicine services to qualified patients in alcohol and drug treatment, mental health treatment, and primary medical care. After careful research of the technology available, we chose to partner with MDLiveCare in Florida so we could deliver services conveniently and securely at affordable rates. The technology was a key in making our decision considering what our patients would need in order to use these services.
During our research of available telehealth technologies for video conference sessions, we were happy to discover that most of our services could be delivered through this medium. Assessments of new patients entering addiction treatment or mental health treatment can be completed before they come to one of our locations. This allows our staff to better prepare for their arrival, and saves patients critical time in on-site admissions time. It can also be used for outpatient services for some patients. We can also see qualified patients in primary medical care from their homes and offices.
The MDLiveCare technology is browser-based. This means that patients simply need to open Internet Explorer, Firefox, Chrome, or whatever they use on a daily basis, and log in to their account. Once logged in, a simple interface makes it easy for them to schedule appointments with Providers, send and read secure messages with them, and view records. Anyone who browses the internet should be able to use the interfaces we provide, known as MDLiveVisit and TherapyLiveVisit.
Much of the technology used for telehealth video conferencing today would be considered complicated by the everyday computer user. Some require special software that, putting it simply, directly connects one specific computer with another over long distances. This adds work for the patient in setting up the software, which may not go well and lead to a need for technical support. Also, if the program crashes there is no backup means to connect to a session, creating a delay in services. These are issues that patients do not want to deal with when they need health care.
The MDLiveVisit and TherapyLiveVisit interfaces that are used by Tarzana Treatment Centers require no initial setup on patient computers. They only need a login ID and temporary password to get started. Literally within minutes, patients can set an appointment to see one of our health care providers. And, if the browser they are using happens to crash, they can switch to another to start or resume a session. All of this simplicity is delivered with the same or better security as those described above.
The LiveVisit application was started using the popular Flash Player to deliver video. This meant that almost anyone already had the software needed to send and receive video before they used LiveVisit. To improve services, a switch was made to using the VSee video format in LiveVisit. The new format uses less bandwidth, meaning that even patients with very slow internet access can send and receive smooth video. Patients still do not need to install bulky software to use this advanced video format.
We chose to partner with MDLiveCare and use the LiveVisit telehealth applications because the simplicity and security satisfied our high standards in delivering services to patients. The goal was to make getting treatment easier for patients, with almost no chance that problems will occur. No special equipment is needed, either, other than an inexpensive webcam since high resolution is not necessary in LiveVisit.
Tarzana Treatment Centers in Los Angeles provides a full array of health care services including adult and youth alcohol and drug treatment. We specialize in treatment for mental health and substance use disorders, and have two primary medical care clinics in the San Fernando Valley and Antelope Valley. If you or a loved one needs help with alcohol dependence, drug addiction, or co-occurring mental health disorders, please call us now at 800-996-1051 or contact us here.
Southern California Locations for Alcohol and Drug Treatment
Tarzana Treatment Centers has locations all over Southern California in Los Angeles County. Other than our central location in Tarzana, we have facilities in Lancaster in the Antelope Valley, Long Beach, and in Northridge and Reseda in the San Fernando Valley.
by James Heller
2. September 2010 14:00
Individuals from all social and economic levels can suffer from alcohol dependence. When they know they need treatment, some of them can’t access it either because they don’t have time or worry about the social stigma of being an alcoholic. Recovery may be the only thing that saves their family, job, or finances, though, so they should consider telemedicine as an option.
The homeless people you see on the street are only the public face of alcoholism. One may work in the office or cubicle next to you, or even live in your own home. It is estimated that over 1 in 10 Americans suffer today. No matter who they are, at some time, hopefully, they realize that they need alcohol treatment. Sadly, many will postpone or decline this addiction treatment for several reasons.
Entering alcohol treatment is still wrongly stigmatized as a weakness for a large segment of society. Individuals in positions of authority and possibly well known, in business and politics, very often place public status over their own health, and think they will be okay without treatment. But for every one individual who seems to be “living a party” and still making a living in the news, there are thousands who will lose everything.
Successful alcohol treatment does require a time commitment from patients and their loved ones. The patient needs to attend individual and group sessions to work through life issues that will prevent relapse. Family and friends need to also attend groups to work on themselves as well as to provide support for the patient. The resistance is not so much about attending the sessions, but more about the travel time and coordination of schedules that makes people nervous. When one knows they need treatment, they should get it.
Tarzana Treatment Centers in Los Angeles provides telemedicine for individuals who have these reasons, and many others, to not seek alcohol treatment. Sessions are conducted by video conference over the browser-based TherapyLiveVisit application, powered by MDLiveCare. Participants in telemedicine only need a computer with a webcam and internet connection. All sessions are secure and confidential, running behind several layers of encryption.
These individuals who need help with alcohol abuse or dependence can now get it before problems mount too high. Eliminating regular trips to an alcohol treatment center solves the stigma and time issues. There is no need to explain sudden regular “nights out” to those who may pry, and all sessions can be conducted at home or work. Travel time is eliminated, along with the hassle of loading the family in a car. Also, distant family members can participate in family sessions, which is a great benefit.
Telemedicine at Tarzana Treatment Centers is not limited to addiction treatment. We also provide online mental health treatment and online medical care. Our goal is to see that those who need treatment can get it.
Tarzana Treatment Centers in Los Angeles provides a full array of health care services including adult and youth alcohol and drug treatment. We specialize in treatment for mental health and substance use disorders, and have two primary medical care clinics in the San Fernando Valley and Antelope Valley. If you or a loved one needs help with alcohol dependence, drug addiction, or co-occurring mental health disorders, please call us now at 800-996-1051 or contact us here.
Southern California Locations for Alcohol and Drug Treatment
Tarzana Treatment Centers has locations all over Southern California in Los Angeles County. Other than our central location in Tarzana, we have facilities in Lancaster in the Antelope Valley, Long Beach, and in Northridge and Reseda in the San Fernando Valley.
by James Heller
30. August 2010 08:49
It’s difficult enough raising adolescent children, and then you discover the reason for their recent behavior issues is due to alcohol abuse or drug abuse. You cringe at the thought of admitting them to alcohol and drug treatment because, beyond the shock you feel, it seems like yet another burden to tackle. But it is important, and you know it, and telemedicine may be the solution for your hesitation.
Adolescent alcohol abuse and drug abuse can tear the closest families apart. It starts with failing grades, behavior problems, and new friends who give parents that “bad feeling”. A gradual increase of difficult situations explodes when parents discover substance abuse among their youth, and exhaustion generally follows. So many parents will just want to give up. Adolescent alcohol and drug treatment seems beyond the breaking point.
Although it is logical to make an attempt at solving a problem, procrastination takes over for most parents of substance abusers due to stigma. “What will the extended family/friends/neighbors think?” When they get past that hindering feeling and call an alcohol and drug treatment center, they learn about the time and emotion involved and put it off again. All the while, their teens are going further down a road toward alcoholism or drug addiction, crime, injury, and possibly death. Time is of the essence.
Tarzana Treatment Centers in Los Angeles offers telemedicine as an answer to both the stigma and time issues. Teens can attend counseling sessions via video conference from home, using a computer with a webcam. Parents can attend family meetings in the same manner. We even have the technology to conduct group sessions over a secured internet connection. This cuts the time and cost of travel to our locations, and saves you the need to explain the daily family trips to others.
Our providers use the TherapyLiveVisit application, powered by MDLiveCare, which works in any web browser. If you have a computer with internet access and a webcam, you can use Internet Explorer, Firefox, Safari, Chrome, or any other browser to access the application. LiveVisit operates behind several layers of encryption, so you can be certain that your consultations will be completely confidential.
The term “telemedicine” encompasses all forms of health care including mental health treatment and addiction treatment. In many cases of youth alcohol abuse and drug abuse, there are co-occurring mental health disorders that had gone previously undetected. Tarzana Treatment Centers is recognized as a leader in providing mental health treatment to adolescents. Our telemedicine staff includes addiction counselors and mental health professionals, as well as medical professionals.
Tarzana Treatment Centers in Los Angeles provides a full array of health care services including adult and youth alcohol and drug treatment. We specialize in treatment for mental health and substance use disorders, and have two primary medical care clinics in the San Fernando Valley and Antelope Valley. If you or a loved one needs help with alcohol dependence, drug addiction, or co-occurring mental health disorders, please call us now at 800-996-1051 or contact us here.
Southern California Locations for Alcohol and Drug Treatment
Tarzana Treatment Centers has locations all over Southern California in Los Angeles County. Other than our central location in Tarzana, we have facilities in Lancaster in the Antelope Valley, Long Beach, and in Northridge and Reseda in the San Fernando Valley.
by James Heller
24. June 2010 10:08
Tarzana Treatment Centers in Los Angeles has taken pride in our efforts to remain current with health technology advancements. We have now partnered with MDLiveCare to provide telemedicine services. This will enable us to offer alcohol and drug treatment, mental health treatment, and medical care via video conference technology, which will allow access to more individuals who need these services.
Please click the link below to read the press release:
Tarzana Treatment Centers in Los Angeles provides adult and youth alcohol and drug treatment. We specialize in treatment for mental health and substance use disorders, and have two primary medical care clinics in the San Fernando Valley and Antelope Valley. If you or a loved one needs help with alcohol dependence, drug addiction, or co-occurring mental health disorders, please call us now at 800-996-1051 or contact us here.
Southern California Locations for Alcohol and Drug Treatment
Tarzana Treatment Centers has locations all over Southern California in Los Angeles County. Other than our central location in Tarzana, we have facilities in Lancaster in the Antelope Valley, Long Beach, and in Northridge and Reseda in the San Fernando Valley.
by James Heller
18. May 2010 13:48
Tolerance, as it relates to alcohol dependence and drug addiction, is often misunderstood by many in the general public. In the manner that drug and alcohol tolerance functions, it can be a safety mechanism to the body and, at the same time, deadly. This makes awareness of the subject critical for anyone who engages in alcohol abuse or drug abuse, as well as those in recovery.
It can easily be assumed that tolerance means that an individual can drink more alcohol without getting drunk, or handle drug use in a seemingly controlled manner. With this assumption comes the belief that these “abilities” are an example of the natural differences that exist from one individual to another. While this is partially true, the nature of alcohol and drug tolerance is much more complicated.
Alcohol tolerance is the example with which most people can relate. Consider the amount of alcohol you need to drink before you feel the effects, or “buzzed”. Let’s say this is 2 beers. If you drink 2 beers every day, over time you will feel less of an effect. If you want to feel the same effect, you must drink more alcohol. The amount of alcohol needed for the same feeling will continue to increase as you add more alcohol.
The same concept works with drugs. Alcohol abuse or drug abuse can result from tolerance since individuals will chase that feeling by drinking or using more on each occasion. If the cycle continues with regular daily alcohol or drug intake, the body can become physically dependent and alcoholism or drug addiction is the result.
On this road to addiction that we just followed, the brain has protected the body from overdose, with tolerance, by adjusting to the higher levels of substance use. This benefit of drug tolerance can become a dangerous consequence, though, for recovering individuals who relapse. The addicted brain still needs a large amount of drugs for an effect, but the body returns to a lower tolerance of what is essentially a poison.
At the time of first use on a relapse, the brain will dictate the most recent amount of drugs used to get a desired effect. If the formerly recovering addict is not careful, this amount can easily cause a drug overdose or even be fatal. Many drug addicts are not aware of this fact, and will even ignore warnings from fellow drug users because they don’t realize the consequences they face.
While alcoholics are less likely to overdose on alcohol during first use on a relapse, they may experience what is known as a lack of tolerance. At this point, a drunken feeling may result from only 1 drink. Lack of tolerance can actually occur with anyone who drinks alcohol, but it is typically coupled with alcohol dependence. Of course, that 1 drink will still not be enough to satisfy alcoholics and they can become a danger to themselves through inebriation and alcohol’s effect on the body.
This information is good to share with teens, friends in recovery, or anyone you may know who engages in alcohol abuse or drug abuse. Too many see tolerance as a benefit both early in substance use and in addiction. Tolerance is explained in effective alcohol and drug treatment as part of addiction education groups to prevent accidental overdoses among those who may relapse. Bringing this awareness to the general public may save even more lives.
Tarzana Treatment Centers in Los Angeles provides youth alcohol and drug treatment and addiction education. We specialize in treatment for mental health and substance use disorders, and have two primary medical care clinics in the San Fernando Valley and Antelope Valley. If you or a loved one needs help with alcohol dependence, drug addiction, or co-occurring mental health disorders, please call us now at 800-996-1051 or contact us here.
Southern California Locations for Alcohol and Drug Treatment
Tarzana Treatment Centers has locations all over Southern California in Los Angeles County. Other than our central location in Tarzana, we have facilities in Lancaster in the Antelope Valley, Long Beach, and in Northridge and Reseda in the San Fernando Valley.
by James Heller
12. May 2010 15:07
Senior alcohol abuse is often more difficult to correct than with any other group in America. By age 60, most individuals are set in their ways and don’t feel the need to change anything. In fact, many seniors are aware of the risks they face with heavy drinking and continue seemingly without care. Loved ones may feel helpless, but solutions exist.
About 40% of those over 60 say they drink alcohol, with almost one-third of them admitting to binge drinking and heavy drinking, or alcohol dependence. These statistics come from a 2007 report at the Substance Abuse and Mental Health Services Administration, Office of Applied Studies website. This means that about 1 in 10 seniors at least binge drink on occasion, which can be very dangerous to their health and that of others.
Many external changes happen with individuals when they reach age 60. Retirement is imminent if it has not already occurred, friends begin to move away or pass away, and family members may even suggest a change of residence. Worst of all, the mind and body begin to show signs of aging, meaning that doctor visits become common and more medications need to be taken. All of these can be terribly stressful on anyone when they are grouped into a few short years.
Boredom, loneliness, and a sense of powerlessness can each lead anyone to drink alcohol. Whether it is a time-filler or an escape from negative feelings doesn’t matter. The end result is that it works and leads to earlier drinking times and less time outside the home. Senior alcohol abuse may even be a purposeful celebration of the golden years. The daily party begins with joy, but can quickly turn to injury or a fatality.
This can all be very harmful for seniors due to interactions with medications, a higher risk of falling, and aging major organs. If alcohol dependence sets in, the effects on the body and brain are more detrimental to seniors than anyone else. The celebrators, in freedom, usually drive under the influence. Yet most seniors who abuse alcohol either hide it or justify it, and accept the risks.
Family members who see the alcohol abuse will often accept the behavior as a rite of passage. Considering the years they have lived, why would a loved one deny what seems well deserved? And if nobody gets hurt, all is okay. That is, until somebody gets hurt or health problems develop. Some seniors will stop the behavior at this point, but most will continue to drink heavily and probably more.
There are 2 things that loved ones can do at this point. The first is to strongly suggest alcohol detox and alcohol treatment. But most people in their 60’s today will see that as a sign of weakness and refuse, and family members generally won’t force the issue. Doing so may get the elderly alcoholic into treatment, but he or she will only benefit if self-motivated. So keep suggesting, with love, and let them make the decision.
Second, you can set boundaries and stick to them. If they refuse to quit drinking or cut down, suggest accompanying them to the doctor so you can discuss medication interactions. Let them know you understand that they are not concerned with their own health, but you are concerned with the health of others including yourself and younger members of the family. It may be hard, but you must be firm, with love, and continue to suggest alcohol treatment.
To the younger generations, seniors who refuse to change these behaviors seem stubborn. However, like any other individual who engages in alcohol abuse, the bottom line is that they are escaping from emotions. Instead of arguing and treating them like children, it is best to discuss feelings as much as possible. Avoid forcing the issue of senior alcohol treatment, and use gentle, loving nudges.
Tarzana Treatment Centers in Los Angeles provides alcohol and drug treatment for seniors in a culturally sensitive manner. We specialize in treatment for mental health and substance use disorders, and have two primary medical care clinics in the San Fernando Valley and Antelope Valley. If you or a loved one needs help with alcohol dependence, drug addiction, or co-occurring mental health disorders, please call us now at 800-996-1051 or contact us here.
Southern California Locations for Alcohol and Drug Treatment
Tarzana Treatment Centers has locations all over Southern California in Los Angeles County. Other than our central location in Tarzana, we have facilities in Lancaster in the Antelope Valley, Long Beach, and in Northridge and Reseda in the San Fernando Valley.
by James Heller
21. April 2010 10:17
Dr. Jose Salazar, Director of Program Development at Tarzana Treatment Centers in Los Angeles has written an article about substance abuse among older adults for Aging Today. This is a great source for those wanting information about how the elderly fall into alcoholism or drug addiction over life issues, and the treatment they need. With a growing population of aging adults, it helps everyone to be aware of possible alcohol abuse and drug abuse issues they will face.
Read the full article at this link:
http://www.agingtoday.org/at/at-311/pdfs/ATv31n1_Salazar.pdf
Tarzana Treatment Centers in Los Angeles provides culturally sensitive alcohol and drug treatment to older adults. We specialize in treatment for mental health and substance use disorders, and have two primary medical care clinics in the San Fernando Valley and Antelope Valley. If you or a loved one needs help with alcohol dependence, drug addiction, or co-occurring mental health disorders, please call us now at 800-996-1051 or contact us here.
Southern California Locations for Alcohol and Drug Treatment
Tarzana Treatment Centers has locations all over Southern California in Los Angeles County. Other than our central location in Tarzana, we have facilities in Lancaster in the Antelope Valley, Long Beach, and in Northridge and Reseda in the San Fernando Valley.
by James Heller
21. April 2010 07:50
After years of suffering, and finally making the decision to enter alcohol and drug treatment, the last thing alcoholics and drug addicts want to do is wait. Forms need to be completed, printed and signed, and all of that paper used can’t be good for the environment. Digital signatures address both of these issues.
When alcohol and drug treatment centers stay current with technology in health care, the main goal is to improve patient outcomes. Any new technology aims to provide better security, efficiency in treatment, and the ability to store and share information between staff professionals. But even with efficient systems in place, paperwork can seem overwhelming to patients being admitted to treatment.
Many individuals entering alcohol and drug treatment require medical detoxification to minimize withdrawals. The decision to enter treatment may have taken months, partially out of fear over alcohol, heroin, or prescription drug withdrawals. Once they enter the doors of a facility, with no access to their drugs of choice, that fear makes every minute seem like an hour.
Suddenly, they are faced with a stack of paperwork that needs to be read and signed. Before they are halfway through the stack, physical signs of withdrawal may begin to appear. No matter how quickly an admissions counselor wants to proceed, this work needs to be done to ensure patient security and proper treatment.
Paper use is a problem in this process, as well. If two professionals need to see a form at the same time, it means that copies need to be made. Most of those copies are shredded after use. Digital creation and storage of many forms minimizes waste, but there are still some that need patient signatures. This still means that paper is printed, copied and shredded over and over again.
Tarzana Treatment Centers in Los Angeles has addressed this issue by incorporating digital signature capturing into the admissions and counseling process. Patients can now proceed through the admissions process without waiting for forms to print. They can simply sign them using a digital signature pad during the admission interview process, effectively cutting the admission time in half.
When patients complete the admissions process, they are walked into a treatment unit with minimal paperwork. This not only saves paperwork, but also provides better security for patients. This is because their detailed information is only available on a secure network computer, accessible only to treatment staff. It also means that two professionals can look at the same information simultaneously, without needing to make copies.
Our goal is to be completely paperless as a health care organization. The ability to capture digital signatures provided a bridge over a big chasm that prevented us from reaching that goal. This took some time to accomplish, but it was worth it considering that we made great leaps toward two of our goals.
Tarzana Treatment Centers in Los Angeles uses the latest technology to provide effective alcohol and drug treatment. We specialize in treatment for mental health and substance use disorders, and have two primary medical care clinics in the San Fernando Valley and Antelope Valley. If you or a loved one needs help with alcohol dependence, drug addiction, or co-occurring mental health disorders, please call us now at 800-996-1051 or contact us here.
Southern California Locations for Alcohol and Drug Treatment
Tarzana Treatment Centers has locations all over Southern California in Los Angeles County. Other than our central location in Tarzana, we have facilities in Lancaster in the Antelope Valley, Long Beach, and in Northridge and Reseda in the San Fernando Valley.
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