Organization
GRACE PLACE COLLIN LLC
Active
Other names
The Grace Agency
Organization subpart
No
Provider details
NPI number
Authorized official
SHANESE MCCLENDON (CEO)
(414) 839-4755
Entity
Organization
Contact information
Practice address
6115 CUPERTINO TRL, DALLAS, TX 75252-2642
(414) 839-4755
(888) 320-7479
Mailing address
6115 CUPERTINO TRL, DALLAS, TX 75252-2642
(414) 839-4755
(888) 320-7479
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2018
Last updated
11/14/2024
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