Organization
GRATA HOUSE TO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MORIARTY (MANAGING MEMBER)
(424) 388-4061
Entity
Organization
Contact information
Practice address
1696 LA JOLLA DR, THOUSAND OAKS, CA 91362-2334
(424) 388-4061
Mailing address
1696 LA JOLLA DR, THOUSAND OAKS, CA 91362-2334
(424) 388-4061
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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