G & C SWAN INC NPI 1497132765

NPI Information

G & C SWAN INC is a substance abuse rehabilitation facility in Ontario, 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. G & C SWAN INC NPI is 1497132765. The provider is registered as an organization entity type.
The provider Is Doing Business As New Creation.

The provider's business location address is:

3286 E GUASTI RD STE 100
ONTARIO, CA
ZIP 91761
Phone: (909) 476-2023

The provider's authorized official is Glenn Swanson .
The authorized official title is Ceo/director and has the following contact phone number (909) 243-7321.

The CLIA number assigned to this NPI record is 05D2242712 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/6/2015 and was last updated on 11/30/2021.

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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