# GRACE OUTREACH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275093841
- **Authorized official:** TOMMY BROWN TRS, RN (OWNER)
- **Authorized official phone:** (225) 335-2240

## Contact information

- **Practice address:** 3225 TURTLE CREEK BLVD, DALLAS, TX 75219-5409
- **Practice address phone:** (225) 335-2240
- **Mailing address:** 3225 TURTLE CREEK BLVD, DALLAS, TX 75219-5409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 3245S0500X | Children's Substance Abuse Rehabilitation Facility | — | NULL | — |

## Other

- **Enumeration date:** 03/21/2019
- **Last updated:** 10/28/2020