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Organization

GRANITE WELLNESS CENTERS

Active
Other names
Community Recovery Resources, Grass Valley Campus Residential Program
Organization subpart
No

Provider details

NPI number
Authorized official
ELAINE EBBERT (OPERATIONS DIRECTOR)
(530) 878-5166
Entity
Organization

Contact information

Practice address
159 BRENTWOOD DR, GRASS VALLEY, CA 95945-5703
(530) 273-9541
(530) 271-7036
Mailing address
PO BOX 6028, AUBURN, CA 95604-6028
(530) 878-5166
(916) 797-8979

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
290002BN
CA

Other

Enumeration date
06/02/2009
Last updated
09/22/2022
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