Organization
G&C SWAN INC
Active
Other names
HIS HOUSE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLENN SWANSON CADAC II, BS, MBA (CEO)
(909) 241-7219
Entity
Organization
Contact information
Practice address
1354 CARLOS PL, ONTARIO, CA 91764-2310
(909) 241-7219
(909) 985-2316
Mailing address
333 E ARROW HWY, #220, UPLAND, CA 91785-7088
(909) 241-7219
(909) 985-2316
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
360075CP
CA
Other
Enumeration date
05/02/2013
Last updated
09/30/2024
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