NPI | 1891044228 |
---|---|
Doing Business As | GRACE COUNSELING CENTER |
Entity Type | Organization |
Authorized Contact | CHERYL ANN RAYL Director 800-972-0643 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 3910-3911) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 10673) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX MAC 44692) | |
101YP2500X Counselor, Professional (Licence: TX 10673) | |
Enumeration Date | 2012-08-30 |
Last Update Date | 2022-09-10 |