Organization
GRACE RECOVERY CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW LUCHINI (ACCOUNT MANAGER)
(928) 533-4220
Entity
Organization
Contact information
Practice address
10116 PORTLAND AVE E, TACOMA, WA 98445-3954
(928) 708-9615
Mailing address
10116 PORTLAND AVE E, TACOMA, WA 98445-3954
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/21/2013
Last updated
11/21/2013
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