| NPI | 1508127846 |
|---|---|
| Former Legal Business Name | GRACE TO CHANGE |
| Entity Type | Organization |
| Authorized Contact | SHANNON WHITE Executive Director 972-542-2900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 3531-3532) |
| Additional Taxonomies | 251S00000X |
| 251S00000X (Licence: TX 3531-3532) | |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2017-12-12 |