| NPI | 1629865043 |
|---|---|
| Doing Business As | RENAISSANCE GRACE SERVICES DC |
| Entity Type | Organization |
| Authorized Contact | HERVED JOEL SIMEU Administrator 469-530-4932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2026-03-31 |