Organization
GRACE WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNA DEAN (OWNER)
(702) 937-7789
Entity
Organization
Contact information
Practice address
3707 E SOUTHERN AVE, MESA, AZ 85206-2569
(702) 937-7789
Mailing address
1024 W OWENS AVE STE B, LAS VEGAS, NV 89106-2520
(702) 937-7789
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
10/29/2019
Last updated
06/11/2025
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