Organization
G & C SWAN INC
Active
Other names
New Creation
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN SWANSON CADAC II, BS, MBA (CEO/DIRECTOR)
(909) 243-7321
Entity
Organization
Contact information
Practice address
3286 E GUASTI RD STE 100&110, ONTARIO, CA 91761-8645
(909) 476-2023
Mailing address
333 E ARROW HWY UNIT 220, UPLAND, CA 91785-7008
(909) 476-2023
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
360075DP
CA
Other
Enumeration date
05/06/2015
Last updated
09/18/2024
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