Organization
G & C SWAN INC
Active
Other names
His House
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SWANSON (CFO)
(909) 476-2023
Entity
Organization
Contact information
Practice address
215 W 9TH ST # I-JK, UPLAND, CA 91786-5910
(909) 241-7219
Mailing address
333 E ARROW HWY UNIT 220, UPLAND, CA 91785-7008
(909) 241-7219
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
07/29/2025
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