Organization
GRACE RECOVERY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SLACK (DIRECTOR OF IT)
(888) 228-5485
Entity
Organization
Contact information
Practice address
1400 BROADWAY ST, ANDERSON, IN 46012-2535
(888) 228-5485
(765) 393-2563
Mailing address
1400 BROADWAY ST, ANDERSON, IN 46012-2535
(888) 228-5485
(765) 393-2563
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/11/2019
Last updated
02/24/2022
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