| By Grace Recovery Homes Llc | |
|
1819 Oakley Ct Stockton CA 95206-6357 | |
| (913) 544-5902 | |
| Not Available |
| Full Name | By Grace Recovery Homes Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1819 Oakley Ct, Stockton, California |
| Authorized Official Name and Position | Alex Maina (OWNER /OPERATOR) |
| Authorized Official Contact | 9135445902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| By Grace Recovery Homes Llc 1819 Oakley Ct Stockton CA 95206-6357 Ph: () - | By Grace Recovery Homes Llc 1819 Oakley Ct Stockton CA 95206-6357 Ph: (913) 544-5902 |
| NPI Number | 1891501383 |
|---|---|
| Provider Enumeration Date | 12/09/2024 |
| Last Update Date | 12/09/2024 |
| Certification Date | 12/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891501383 | NPI | - | NPPES |
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