Organization
GRACE THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH R DONNELLY MS, LPC (CEO)
(215) 740-9875
Entity
Organization
Contact information
Practice address
1111 STREET RD STE 101, SOUTHAMPTON, PA 18966-4250
(215) 740-9875
Mailing address
1922 PRESTON AVE, WILLOW GROVE, PA 19090-3027
(215) 740-9875
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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