NPI | 1316795701 |
---|---|
Doing Business As | BALANCED GRACE THERAPY PLLC |
Entity Type | Organization |
Authorized Contact | BROOKE A WILLIAMS Owner 708-212-3603 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2024-05-09 |
Last Update Date | 2024-05-09 |