MRS. KERRY ROSE GRACIA M.S.W. NPI 1083070510

NPI Information

MRS. Kerry Rose Gracia, M.S.W. is a substance abuse rehabilitation facility in Pomona, 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. MRS. Kerry Rose Gracia, M.S.W. NPI is 1083070510. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

845 E ARROW HWY
POMONA, CA
ZIP 91767-535
Phone: (909) 624-1233
Fax: (909) 621-5999

The enumeration date for this NPI number is 1/13/2016 and was last updated on 1/13/2016.

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:

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