Organization
SIMPLY GRACED
Active
Other names
Simply Grace
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER N DASILVA (EXECUTIVE DIRECTOR)
(214) 774-9808
Entity
Organization
Contact information
Practice address
580 W ARAPAHO RD STE 208, RICHARDSON, TX 75080-4371
(214) 774-9808
Mailing address
580 W ARAPAHO RD STE 208, RICHARDSON, TX 75080-4371
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/27/2018
Last updated
03/02/2023
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