Grand Terrace Detox and Recovery
NPI #1154847838 in Lake Elsinore, California
Provider Information
- NPI Number
- 1154847838
- Entity Type
- Organization
- Organization Name
- Grand Terrace Detox and Recovery
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Aug 15, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 18989 GRAND AVE
- City
- Lake Elsinore
- State
- California
- ZIP Code
- 92530-6259
- Phone
- (954) 210-8617
Authorized Official
- Name
- ERIC MCCOY
- Title
- PROGRAM DIRECTOR
- Phone
- (954) 446-3538
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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