Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grand Terrace Detox and Recovery

Organization Substance Abuse Rehabilitation Facility · NPI 1154847838

Grand Terrace Detox and Recovery is a Substance Abuse Rehabilitation Facility in Lake Elsinore, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

18989 Grand Ave
Lake Elsinore, CA 92530-6259
Phone: (954) 210-8617
Fax: (954) 982-2827
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X · Licence 330168AP (CA)

Record details

NPI number1154847838
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric McCoy — Program Director · (954) 446-3538
NPI enumeratedAugust 15, 2017
Last updated in NPPESJuly 21, 2022
Mailing address18989 Grand Ave, Lake Elsinore, CA 92530-6259

Other providers in Lake Elsinore