Organization
GRACE BEHAVIORAL HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET ANNOR (CEO)
(480) 665-0157
Entity
Organization
Contact information
Practice address
8413 W PAYSON RD, TOLLESON, AZ 85353-7622
(480) 665-0157
Mailing address
8413 W PAYSON RD, TOLLESON, AZ 85353-7622
(480) 665-0157
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/30/2021
Last updated
01/30/2021
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