Organization
HOPE AND GRACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO ANDRES (DIRECTOR)
(626) 918-7636
Entity
Organization
Contact information
Practice address
865 W GLENTANA ST, SUITE 3, COVINA, CA 91722-3617
(626) 918-7636
Mailing address
865 W GLENTANA ST, SUITE 3, COVINA, CA 91722
(626) 918-7636
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
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