Grata House To, LLC
NPI #1326760596 in Thousand Oaks, California
Provider Information
- NPI Number
- 1326760596
- Entity Type
- Organization
- Organization Name
- Grata House To, LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Sep 14, 2022
- Last Updated
- Sep 14, 2022
Practice Location
- Address
- 1696 LA JOLLA DR
- City
- Thousand Oaks
- State
- California
- ZIP Code
- 91362-2334
- Phone
- (424) 388-4061
Authorized Official
- Name
- JASON MORIARTY
- Title
- MANAGING MEMBER
- Phone
- (424) 388-4061
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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