GRAND TERRACE DETOX AND RECOVERY NPI 1154847838

NPI Information

GRAND TERRACE DETOX AND RECOVERY is a substance abuse rehabilitation facility in Lake Elsinore, CA. The provider is 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. GRAND TERRACE DETOX AND RECOVERY NPI is 1154847838. The provider is registered as an organization entity type.

The provider's business location address is:

18989 GRAND AVE
LAKE ELSINORE, CA
ZIP 92530-259
Phone: (954) 210-8617
Fax: (954) 982-2827

The provider's authorized official is Eric Mccoy .
The authorized official title is Program Director and has the following contact phone number (954) 446-3538.

The enumeration date for this NPI number is 8/15/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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