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 |