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Organization
HOME OF GRACE COUNSELING SERVICES, LLC
Active
Organization
HOME OF GRACE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA BARTON (EXECUTIVE DIRECTOR)
(228) 826-6522
Entity
Organization
Contact information
Practice address
14200 JERICHO RD, VANCLEAVE, MS 39565-9771
(228) 826-5283
(228) 826-1663
Mailing address
PO BOX 5009, VANCLEAVE, MS 39565-5009
(228) 826-5283
(228) 826-1663
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
06/05/2020
Last updated
07/20/2020
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