Organization
GRATITUDE LODGE LLC
Active
Parent organization
GRATITUDE LODGE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRATITUDE LODGE LLC
Authorized official
MR. MARK WILLIAMS (CEO)
(800) 994-2184
Entity
Organization
Contact information
Practice address
3010 E 1ST ST, LONG BEACH, CA 90803-2535
(800) 994-2184
(888) 411-0151
Mailing address
3010 E 1ST ST, LONG BEACH, CA 90803-2535
(800) 994-2184
(888) 411-0151
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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