Organization · Type 2 NPI
Gratitude Lodge LLC
Substance Abuse Rehabilitation Facility · Newport Beach, CA
NPI number
1992494306
Active
Practice location
1661 Orchard Dr
Newport Beach, CA 92660-1315
Fax (888) 411-0151
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
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 1992494306
Gratitude Lodge LLC's National Provider Identifier is 1992494306, issued on May 2, 2023. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Newport Beach, CA. The record was last updated on May 2, 2023.