| NPI | 1568821551 |
|---|---|
| Doing Business As | GIBSON HOUSE FOR WOMEN |
| Entity Type | Organization |
| Authorized Contact | SHELLY MATTAZARO Administrative Supervisor 909-381-3774 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 360004FN) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2023-10-12 |