Organization
GRACE TO GROW AUTISM THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKITTA CANNADY (OWNER/ADMINISTRATOR)
(678) 628-7675
Entity
Organization
Contact information
Practice address
3029A DEANS BRIDGE RD, AUGUSTA, GA 30906-2921
(678) 628-7675
Mailing address
3270 COLONEL CT, GROVETOWN, GA 30813-1268
(678) 628-7675
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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