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1578193678
GRATITUDE LODGE LLC
NEWPORT BEACH, CA
NPI
1578193678
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Entity Type
Organization
Authorized Contact
BROOKS BUTLER
Manager
657-218-9958
Organization Subpart ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2020-01-17
Last Update Date
2020-01-17
Business Address
GRATITUDE LODGE LLC
20182 KLINE DR
NEWPORT BEACH, CA 92660-1312
Phone number: 657-218-9958
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Mailing Address
GRATITUDE LODGE LLC
3849 CHATWIN AVE
LONG BEACH, CA 90808-2004
Phone number:
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