GRAND TERRACE DETOX AND RECOVERY
NPI 1154847838
Substance Abuse Rehabilitation Facility in Lake Elsinore, CA

Q: What is Grand Terrace Detox And Recovery's NPI number?

The NPI number for Grand Terrace Detox And Recovery is 1154847838. It was assigned to this organization in the NPPES registry on August 15, 2017.

Q: What is Grand Terrace Detox And Recovery's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since August 15, 2017

18989 GRAND AVE, LAKE ELSINORE, CA 92530(954) 210-8617(954) 982-2827 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 15, 2017 (2 updates tracked since 2017).

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About Grand Terrace Detox And Recovery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAND TERRACE DETOX AND RECOVERY (NPI 1154847838) is a healthcare organization registered as a substance abuse rehabilitation facility in Lake Elsinore, California and active in the NPI registry since August 2017. The organization lists Eric Mccoy, Program Director, as its authorized official.

NPPES Registry Identity

NPI1154847838

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameGRAND TERRACE DETOX AND RECOVERY

Location Address18989 GRAND AVELake Elsinore, CA 92530-6259

Mailing Address18989 Grand AveLake Elsinore, CA 92530-6259 · (954) 210-8617 · Fax (954) 982-2827

Phone(954) 210-8617

Fax(954) 982-2827

Organization SubpartNo

Authorized OfficialEric MccoyProgram Director · (954) 446-3538

Enumeration DateAugust 15, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1154847838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

License✔ Licensed in CA · 330168AP

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

18989 GRAND AVE, Lake Elsinore, CA 92530

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Other Identifiers 1

Other330168APCA · License And Certification

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIC MCCOY CATC II

Counselor (Addiction (Substance Use Disorder))

18989 GRAND AVE
LAKE ELSINORE, CA 92530

Riverside County (951) 302-2392

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grand Terrace Detox And Recovery's NPI number?

The NPI number for Grand Terrace Detox And Recovery is 1154847838. It was assigned to this organization in the NPPES registry on August 15, 2017.

Where is Grand Terrace Detox And Recovery located?

Grand Terrace Detox And Recovery is located at 18989 Grand Ave, Lake Elsinore, CA 92530. The listed phone number is (954) 210-8617.

What is Grand Terrace Detox And Recovery's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Grand Terrace Detox And Recovery was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.