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Organization

GRACE FAMILY CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DORRENDA SMITH (DIRECTOR)
(602) 628-0601
Entity
Organization

Contact information

Practice address
920 E MADISON ST STE 100, PHOENIX, AZ 85034-2225
(480) 272-7723
Mailing address
920 E MADISON ST STE 100, PHOENIX, AZ 85034-2225
(480) 272-7723

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM2500X
Medical Specialty Clinic/Center
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
02/14/2024
Last updated
05/15/2025
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