Organization
GRACE FAMILY THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAELINA GOODWIN MS CCC-SLP (CEO)
(970) 560-0123
Entity
Organization
Contact information
Practice address
42940 N SUBURBAN AVE, SAN TAN VALLEY, AZ 85140-9899
(970) 560-0123
(480) 816-7588
Mailing address
42940 N SUBURBAN AVE, SAN TAN VALLEY, AZ 85140-9899
(970) 560-0123
(480) 816-7588
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
AZ
Other
Enumeration date
03/06/2015
Last updated
07/21/2022
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