| NPI | 1952297186 |
|---|---|
| Doing Business As | GRACE'S PLACE II |
| Entity Type | Organization |
| Authorized Contact | RAYNEKA COLEY Operator 346-510-7719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-06-16 |