| NPI | 1992494306 |
|---|---|
| Doing Business As | GRATITUDE LODGE |
| Entity Type | Organization |
| Authorized Contact | MARK WILLIAMS CEO 800-994-2184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2023-05-02 |