Organization
FOREVER GRACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AZEL JACKSON (CEO)
(602) 367-9663
Entity
Organization
Contact information
Practice address
6 N 88TH AVE, TOLLESON, AZ 85353-1318
(602) 367-9663
Mailing address
6 N 88TH AVE, TOLLESON, AZ 85353-1318
(602) 367-9663
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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