| Abounding Grace Community Services, Inc. | |
|
202 N Vine St Bastrop LA 71220-3749 | |
| (318) 281-4195 | |
| (318) 281-4196 |
| Full Name | Abounding Grace Community Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 202 N Vine St, Bastrop, Louisiana |
| Authorized Official Name and Position | Yolanda Henderson (DIRECTOR/OWNER) |
| Authorized Official Contact | 3186142962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abounding Grace Community Services, Inc. 55 Northgate Dr Monroe LA 71201-2214 Ph: () - | Abounding Grace Community Services, Inc. 202 N Vine St Bastrop LA 71220-3749 Ph: (318) 281-4195 |
| NPI Number | 1306225867 |
|---|---|
| Provider Enumeration Date | 05/29/2015 |
| Last Update Date | 05/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306225867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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