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Organization
NEW GRACE HOUSE COUNSELING CENTER, INC.
Active
Organization
NEW GRACE HOUSE COUNSELING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FRANCES F NICHOLS (SECRETARY/TREASURER)
(904) 881-5899
Entity
Organization
Contact information
Practice address
1724 VILLAGE WAY STE A, ORANGE PARK, FL 32073-5264
(904) 269-0886
Mailing address
2306 STAFFORD DR, ORANGE PARK, FL 32073-5317
(904) 881-5899
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/23/2010
Last updated
03/23/2010
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