| Grace Alone Aba Llc | |
|
122 Vreeland Ave Paterson NJ 07504-1727 | |
| (914) 216-2264 | |
| Not Available |
| Full Name | Grace Alone Aba Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 122 Vreeland Ave, Paterson, New Jersey |
| Authorized Official Name and Position | Damion Densroy Barrett (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9142162264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Alone Aba Llc 122 Vreeland Ave Paterson NJ 07504-1727 Ph: (914) 216-2264 | Grace Alone Aba Llc 122 Vreeland Ave Paterson NJ 07504-1727 Ph: (914) 216-2264 |
| NPI Number | 1497621429 |
|---|---|
| Provider Enumeration Date | 10/16/2025 |
| Last Update Date | 10/16/2025 |
| Certification Date | 10/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497621429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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