NPI | 1205647385 |
---|---|
Former Legal Business Name | AMAZING GRACE COUNSELING AND ADDICTION SERVICES |
Entity Type | Organization |
Authorized Contact | DEONDRA MILLS CEO 513-884-0917 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
Enumeration Date | 2025-01-16 |
Last Update Date | 2025-01-16 |