Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Adult Mental Health |
261QM0850X | |||
Rehabilitation, Substance Use Disorder Unit |
276400000X | |||
Substance Abuse Disorder Rehabilitation Facility |
324500000X |
| NPI Number | 1053935940 |
| LBN Legal business name | HOME OF GRACE COUNSELING SERVICES, LLC |
| Authorized official | JOSHUA BARTON - (EXECUTIVE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/05/2020 |
| Last updated | 07/20/2020 - About 6 years ago |
| Identifiers | n/a |
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