| NPI | 1124879572 |
|---|---|
| Doing Business As | SOULGRACE COACHING CO |
| Entity Type | Organization |
| Authorized Contact | CLAUDE GRACY CEO 586-339-2178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| 251B00000X Case Management | |
| 251X00000X Supports Brokerage | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 261QC1500X Clinic/Center, Community Health | |
| 305R00000X Preferred Provider Organization | |
| 310400000X Assisted Living Facility | |
| 342000000X Transportation Network Company | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2025-02-24 |