| NPI | 1649066457 |
|---|---|
| Former Legal Business Name | GRACEY'S VISION HEALTHCARE INC. |
| Entity Type | Organization |
| Authorized Contact | GRACE BOONE CEO 862-403-9118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-04-17 |