NPI | 1407532609 |
---|---|
Doing Business As | THE GRACE HOUSE |
Entity Type | Organization |
Authorized Contact | QUANIECIA CLAY-CASTLE Owner 337-321-1318 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2023-06-23 |
Last Update Date | 2023-06-23 |