NPI | 1851952055 |
---|---|
Doing Business As | GRACE HOUSE |
Entity Type | Organization |
Authorized Contact | SUZANNE FITZSIMMONS CFO 802-775-3476 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2019-06-27 |
Last Update Date | 2019-06-27 |