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Organization
GRACE PLACE COLLIN LLC
Active
Organization
GRACE PLACE COLLIN LLC
Active
Other names
The Grace Agency
Organization subpart
No
Provider details
NPI number
Authorized official
SHANESE MCCLENDON (CEO)
(414) 839-4755
Entity
Organization
Contact information
Practice address
6115 CUPERTINO TRL, DALLAS, TX 75252-2642
(414) 839-4755
(888) 320-7479
Mailing address
6115 CUPERTINO TRL, DALLAS, TX 75252-2642
(414) 839-4755
(888) 320-7479
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
261QR0800X
Recovery Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/10/2018
Last updated
11/14/2024
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