NPI | 1518730506 |
---|---|
Doing Business As | HOPE LODGE |
Entity Type | Organization |
Authorized Contact | PETER GATES Cco 949-701-1959 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2023-11-01 |
Last Update Date | 2023-11-01 |