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Organization
GRACE OUTREACH
Active
Organization
GRACE OUTREACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMMY BROWN TRS, RN (OWNER)
(225) 335-2240
Entity
Organization
Contact information
Practice address
3225 TURTLE CREEK BLVD, DALLAS, TX 75219-5409
(225) 335-2240
Mailing address
3225 TURTLE CREEK BLVD, DALLAS, TX 75219-5409
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
NULL
Other
Enumeration date
03/21/2019
Last updated
10/28/2020
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