| Amazing Grace Recovery | |
|
3678 W Oakland Park Blvd Lauderdale Lakes FL 33311-1148 | |
| (954) 709-1210 | |
| Not Available |
| Full Name | Amazing Grace Recovery |
|---|---|
| Speciality | Case Management |
| Location | 3678 W Oakland Park Blvd, Lauderdale Lakes, Florida |
| Authorized Official Name and Position | Alexis Chanel Walker (OWNER/DIRECTER) |
| Authorized Official Contact | 9547091210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amazing Grace Recovery 2953 Nw 192nd Ter Miami Gardens FL 33056-2477 Ph: (954) 709-1210 | Amazing Grace Recovery 3678 W Oakland Park Blvd Lauderdale Lakes FL 33311-1148 Ph: (954) 709-1210 |
| NPI Number | 1659862258 |
|---|---|
| Provider Enumeration Date | 05/21/2018 |
| Last Update Date | 05/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659862258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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