Organization
GREATER GRACE CHARTER ACADEMY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAUDETTE AUBERT (EXECUTIVE DIRECTOR)
(225) 267-7318
Entity
Organization
Contact information
Practice address
21490B HIGHWAY 20, VACHERIE, LA 70090-3614
(225) 267-7318
Mailing address
21490B HIGHWAY 20, VACHERIE, LA 70090-3614
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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