Organization
SHAYKE INC
Active
Other names
Freedom Treatment Centers of California
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE GERSTEIN (CEO)
(310) 467-8188
Entity
Organization
Contact information
Practice address
5377 WILHELMINA AVE, WOODLAND HILLS, CA 91367
(310) 467-8188
Mailing address
8018 RUDNICK AVE, CANOGA PARK, CA 91304-3814
(800) 467-5953
(747) 242-1872
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190014AP
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190014AP
STATE LICENSE
CA
Enumeration date
11/16/2017
Last updated
11/16/2017
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