Organization
EATON CANYON RECOVERY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JUDITH WILSON BS, CDS (OPERATIONS DIRECTOR)
(626) 798-0150
Entity
Organization
Contact information
Practice address
3323 FAIRPOINT ST, PASADENA, CA 91107-1203
(626) 798-0150
(626) 798-8685
Mailing address
3323 FAIRPOINT ST, PASADENA, CA 91107-1203
(626) 798-0150
(626) 798-8685
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190521AP
CA
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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