| NPI | 1033311881 |
|---|---|
| Doing Business As | GIBSON HOUSE FOR MEN |
| Entity Type | Organization |
| Authorized Contact | SHELLY MATTAZARO Executive Director 909-381-3774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 360004BN) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2023-10-12 |