Organization
GRATITUDE LODGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK WILLIAMS (CEO)
(800) 994-2184
Entity
Organization
Contact information
Practice address
3849 CHATWIN AVE, LONG BEACH, CA 90808-2004
(562) 359-6115
Mailing address
3849 CHATWIN AVE, LONG BEACH, CA 90808-2004
(562) 359-6115
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/16/2018
Last updated
02/19/2024
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