| NPI | 1104606268 |
|---|---|
| Other Name | GRACE FAMILY AND COMMUNITY COUNSELING SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | PATRICE M NELSON Member 908-590-5810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2023-10-04 |