Organization
GRACE HOUSE MINISTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG PARKS (OWNER)
(317) 398-6697
Entity
Organization
Contact information
Practice address
703 S HARRISON ST, SHELBYVILLE, IN 46176-2101
(317) 398-6697
Mailing address
703 S HARRISON ST, SHELBYVILLE, IN 46176-2101
(317) 398-6697
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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