Organization
THE ELI HOME, INC.
Active
Organization
THE ELI HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRI GALLOWAY (EXECUTIVE DIRECTOR)
(714) 300-0600
Entity
Organization
Contact information
Practice address
1175 N EAST ST, ANAHEIM, CA 92805-1429
(714) 300-0600
Mailing address
1175 N EAST ST, ANAHEIM, CA 92805-1429
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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