Organization
GIVING GIRLS GRACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTARA GIBSON B.S. (MGRM)
(321) 695-0414
Entity
Organization
Contact information
Practice address
105 CHERRY LAUREL DR, ORLANDO, FL 32835-1007
(321) 695-0414
Mailing address
105 CHERRY LAUREL DR, ORLANDO, FL 32835-1007
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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