Grace Recovery Center
LBN: Grace Recovery Center
Grace Recovery Center is an health care organization with primary practice located at 40 Galesi Dr Ste 26 , Wayne NJ 07470-4841. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Grace Recovery Center can be contacted via phone (973) 769-3699, or through Arnett, Lashone via phone (973) 769-3699.
Contact Information
Primary practice address
40 Galesi Dr Ste 26
Wayne NJ 07470-4841
Phone: (973) 769-3699
Fax:
Website:
Authorized official contact:
Name: Arnett, Lashone Licensed Clinical Social Worker (LCSW)
Phone: (973) 769-3699
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X |
Profile Details
| NPI number | 1477025534 |
|---|---|
| LBN Legal business name | Grace Recovery Center |
| DBA Doing business as | |
| Authorized official | Arnett, Lashone Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 28th, 2018 |
| Last updated | Mar 14th, 2019 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477025534 | NPPES |
| New Jersey | MEDICAID | 1407204415 |
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