Organization
GRACE BEHAVIORAL SUPPORT SERVICES
Active
Organization
GRACE BEHAVIORAL SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON A HEWITT (COO)
(305) 681-2500
Entity
Organization
Contact information
Practice address
780 FISHERMAN ST, SUITE 250, OPA LOCKA, FL 33054-3806
(305) 681-2500
(305) 681-2525
Mailing address
780 FISHERMAN ST, SUITE 250, OPA LOCKA, FL 33054-3806
(305) 681-2500
(305) 681-2525
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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