National Provider Identifier Database

GREGORY T LAUDERDALE
Substance Abuse Disorder Rehabilitation Facility

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.


Contact Information

GREGORY T LAUDERDALE
12322 CLEARGLEN AVE
WHITTIER, CA90604
Phone: 562-242-1077
Fax: 562-947-4053
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for GREGORY T LAUDERDALE

NPI Number 1467725721
Credentials
Entity Individual
Enumeration date 02/17/2012
Last updated 02/17/2012 - About 14 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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