| NPI | 1174150684 |
|---|---|
| Doing Business As | GRACE MANOR |
| Entity Type | Organization |
| Authorized Contact | JAMES ARTHER ALDRICH CEO 806-897-9735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2022-05-24 |