Organization
GRATITUDE LODGE LLC
Active
Other names
Gratitude Lodge
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK WILLIAMS (CEO)
(800) 994-2184
Entity
Organization
Contact information
Practice address
1661 ORCHARD DR, NEWPORT BEACH, CA 92660-1315
(800) 994-2184
(888) 411-0151
Mailing address
1661 ORCHARD DR, NEWPORT BEACH, CA 92660-1315
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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