| NPI | 1265509806 |
|---|---|
| Doing Business As | GRACEWOOD COMMUNITY SERVICES |
| Entity Type | Organization |
| Authorized Contact | GAIL C JACKSON Regional Hospital Administrator 706-790-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA 121013741) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |