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Organization
GRACE HAVEN LIVING LLC
Active
Organization
GRACE HAVEN LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANTE LYDELL WILLIAMS (PRESIDENT)
(216) 616-7846
Entity
Organization
Contact information
Practice address
1437 E 86TH ST, CLEVELAND, OH 44106-1015
(216) 616-7846
Mailing address
1437 E 86TH ST, CLEVELAND, OH 44106-1015
(216) 616-7846
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
02/04/2026
Last updated
05/26/2026
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