Amazing Grace Treatment Center, Inc.

NPI #1043057482 in Dayton, Ohio

Provider Information

NPI Number: 1043057482
Entity Type: Organization
Organization Name: Amazing Grace Treatment Center, Inc.
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jul 12, 2024
Last Updated: Jul 12, 2024

Practice Location

Address: 17 INDIANA AVE
City: Dayton
State: Ohio
ZIP Code: 45410-2307
Phone: (937) 640-3400

Authorized Official

Name: TYES'A NELLOMS, ADN, QMHS
Title: PROGRAM MANAGER
Phone: (937) 231-8773

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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