Mr. Ethan Gentile - Long Beach, CA

Mr. Ethan Gentile

Substance Abuse Rehabilitation Facility in Long Beach, California

NPI 1669900130

Ethan Gentile is a Substance Abuse Rehabilitation Facility based in Anaheim, CA. Ethan Gentile practices in Long Beach, CA. The NPI Number for Ethan Gentile is 1669900130 and holds a License No. (California).

The current practice location address for Ethan Gentile is 6621 E Pacific Coast Hwy, Long Beach, CA and can be reached out via phone at 562-270-6344.

Location: 6621 E Pacific Coast Hwy, Long Beach, CA, 92804-1369

NPI Number

1669900130

Provider Name

Ethan Gentile

Credential

Provider Entity Type

Individual

Gender

Male

Address

6621 E Pacific Coast Hwy, Long Beach, CA, 92804-1369

Phone Number

562-270-6344

Fax Number

Provider Enumeration Date

05/30/2017

Last Update Date

03/09/2024

Address

6621 E Pacific Coast Hwy

City

Long Beach

State

California

Zip

90803-4200

Phone Number

562-270-6344

Fax Number

Address

6621 E Pacific Coast Hwy

City

Long Beach

State

California

Zip

90803-4200

Phone Number

562-270-6344

Fax Number

Type

Residential Treatment Facilities

Classification

Substance Abuse Rehabilitation Facility

Speciality

Taxonomy

324500000X

License No.

(California)

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.

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