Organization
G & C SWAN INC
Active
Other names
His House
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL LYNN SWANSON BS (CFO)
(909) 981-6121
Entity
Organization
Contact information
Practice address
239 W 9TH ST # A-B, UPLAND, CA 91786-5979
(909) 981-6121
(909) 697-2901
Mailing address
333 E ARROW HWY UNIT 220, UPLAND, CA 91785-7008
(909) 476-2023
(909) 476-2043
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
360075BP
CA
Other
Enumeration date
04/28/2011
Last updated
07/29/2025
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