Organization
GRACE REHAB CENTER CORP
Active
Other names
Grace Rehab Center Corp
Organization subpart
No
Provider details
NPI number
Authorized official
TATIANA CENTER JOHNSON (PRESIDENT)
(831) 419-1117
Entity
Organization
Contact information
Practice address
9599 W CHARLESTON BLVD, LAS VEGAS, NV 89117-6654
(831) 419-1117
Mailing address
9599 W CHARLESTON BLVD APT 2048, LAS VEGAS, NV 89117-6663
(831) 419-1117
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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