GRATITUDE LODGE LLC is a substance abuse rehabilitation facility in Long Beach, 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. GRATITUDE LODGE LLC NPI is 1033695754. The provider is registered as an organization entity type.
The provider's business location address is:
3849 CHATWIN AVE
LONG BEACH, CA
ZIP 90808-004
Phone: (562) 359-6115
The provider's authorized official is Mark Williams .
The authorized official title is Ceo and has the following contact phone number (781) 330-2124.
The CLIA number assigned to this NPI record is 05D2158369 - independent with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/16/2018 and was last updated on 7/16/2018.