| NPI | 1548048176 |
|---|---|
| Doing Business As | AMAZING GRACE RANCH AZ |
| Entity Type | Organization |
| Authorized Contact | SHELAIRE SPEARS Director 404-528-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician | |
| 174200000X | |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 253Z00000X In Home Supportive Care | |
| 261QC1500X Clinic/Center, Community Health | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| 251E00000X Home Health | |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2023-09-15 |