Organization · Type 2 NPI

Granite Wellness Centers

Substance Abuse Rehabilitation Facility · Grass Valley, CA

NPI number 1285860403 Active

Practice location

159 Brentwood Dr
Grass Valley, CA 95945-5703

Call (530) 273-9541 Map

Fax (530) 271-7036

Mailing address

PO Box 6028
Auburn, CA 95604-6028

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	290002BN (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.

64 other providers at this address

NPI record

NPI: 1285860403
Entity type: Organization (Type 2)
Issued: Jun 2, 2009
Last updated: Sep 22, 2022
Status: Active

Other names

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Grass Valley Campus Residential Program · doing business as
Community Recovery Resources · former legal business name

Authorized official

Elaine Ebbert
Operations Director
(530) 878-5166

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1285860403

Granite Wellness Centers's National Provider Identifier is 1285860403, issued on Jun 2, 2009. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Grass Valley, CA. The record was last updated on Sep 22, 2022.