Organization
CONSCIOUS GRACE ADULT SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMAAL PASKEL (OWNER)
(832) 207-3147
Entity
Organization
Contact information
Practice address
4830 MONTCLAIR HILL LN, FRESNO, TX 77545-2036
(832) 207-3147
Mailing address
4830 MONTCLAIR HILL LN, FRESNO, TX 77545-2036
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
03/04/2021
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