Organization · Type 2 NPI

Grand Terrace Detox and Recovery

Substance Abuse Rehabilitation Facility · Lake Elsinore, CA

NPI number 1154847838 Active

Practice location

18989 Grand Ave
Lake Elsinore, CA 92530-6259

Fax (954) 982-2827

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X330168AP (CA)

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1154847838

Grand Terrace Detox and Recovery's National Provider Identifier is 1154847838, issued on Aug 15, 2017. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Lake Elsinore, CA. The record was last updated on Jul 21, 2022.