| Enter Grace | |
|
32972 Rose Ave Lake Elsinore CA 92530-8002 | |
| (951) 798-9314 | |
| Not Available |
| Full Name | Enter Grace |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 32972 Rose Ave, Lake Elsinore, California |
| Authorized Official Name and Position | Andrea Negrete (CEO) |
| Authorized Official Contact | 9517989314 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enter Grace 32972 Rose Ave Lake Elsinore CA 92530-8002 Ph: (951) 798-9314 | Enter Grace 32972 Rose Ave Lake Elsinore CA 92530-8002 Ph: (951) 798-9314 |
| NPI Number | 1649182114 |
|---|---|
| Provider Enumeration Date | 09/21/2026 |
| Last Update Date | 09/21/2026 |
| Certification Date | 09/20/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649182114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (NU) | Primary |
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