Organization
AMBER GRACE OUTREACH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY LAMONT HARDEN (CEO)
(804) 839-5315
Entity
Organization
Contact information
Practice address
9291 LAUREL GROVE RD STE 210A, MECHANICSVILLE, VA 23116-2969
(804) 839-5315
Mailing address
9291 LAUREL GROVE RD STE 210A, MECHANICSVILLE, VA 23116-2969
(804) 839-5315
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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