Organization
GRACE ABBEY COMMUNITY DEVELOPMENT CORPORATION
Active
Parent organization
GRACE ABBEY COMMUNITY DEVELOPMENT CORPORATION
Other names
Guiding Grace
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRACE ABBEY COMMUNITY DEVELOPMENT CORPORATION
Authorized official
MR. AVERY D WILES MD (CEO)
(337) 316-4129
Entity
Organization
Contact information
Practice address
405 E STATE HIGHWAY 121 STE A, LEWISVILLE, TX 75057-4787
(337) 316-4129
Mailing address
405 E STATE HIGHWAY 121, BUILDING A, SUITE A250, LEWISVILLE, TX 75057-4787
(337) 316-4129
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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