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Organization
GRACE ABOUNDS
Active
Organization
GRACE ABOUNDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL GRACE LPC-S (CEO/PRESIDENT)
(870) 232-4181
Entity
Organization
Contact information
Practice address
1219 COMMERCE DR STE 3, MOUNTAIN HOME, AR 72653-2604
(870) 232-4181
Mailing address
975 COLEY DR UNIT 1232, MOUNTAIN HOME, AR 72654-7115
(870) 232-4181
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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