Abundant Grace Health Services LLC
Community/Behavioral Health in Washington, DC. Organization (NPI-2).
NPI number1982182150
StatusActive
Last updated in NPPESJul 31, 2018
Details
- NPI
- 1982182150
- Entity type
- Organization (NPI-2)
- Legal business name
- Abundant Grace Health Services LLC
- Organization subpart
- No
- Enumeration date
- Jul 31, 2018
- Last updated
- Jul 31, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 012218-388 | DC | Yes |
Practice location
4645 Nannie Helen Burroughs Ave NeWashington, DC 20019-3622
Phone 240-468-6009
Mailing address
4645 Nannie Helen Burroughs Ave NeWashington, DC 20019-3622
Phone 240-468-6009
Authorized official
Jeanne Sanja Johnson
Ceo
2404686009
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