Organization
RETURN TO GRACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WHITE (CEO)
(979) 422-8185
Entity
Organization
Contact information
Practice address
111 W 5TH ST, TYLER, TX 75701-4006
(979) 422-8185
Mailing address
3604 DONNA DR, TYLER, TX 75702-6507
(979) 422-8185
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
282J00000X
Religious Nonmedical Health Care Institution
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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