| NPI | 1437637014 |
|---|---|
| Doing Business As | GRACE RECOVERY COMMUNITY |
| Entity Type | Organization |
| Authorized Contact | GREGORY ADAM HOLDEN President 310-499-3112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-08-05 |
| Last Update Date | 2018-08-05 |