Organization
SHADOW HILLS RECOVERY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDRICK THEO BANKS CADC-I (PROGRAM DIRECTOR)
(661) 466-6658
Entity
Organization
Contact information
Practice address
10941 MESETA AVE, SUNLAND, CA 91040-1376
(661) 466-6658
Mailing address
10941 MESETA AVE, SUNLAND, CA 91040-1376
(661) 466-6658
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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