Conscious Grace Adult Service, LLC

NPI #1467046540 in Fresno, Texas

Provider Information

NPI Number: 1467046540
Entity Type: Organization
Organization Name: Conscious Grace Adult Service, LLC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Mar 1, 2021
Last Updated: Mar 4, 2021

Practice Location

Address: 4830 MONTCLAIR HILL LN
City: Fresno
State: Texas
ZIP Code: 77545-2036
Phone: (832) 207-3147

Authorized Official

Name: MR. JAMAAL PASKEL
Title: OWNER
Phone: (832) 207-3147

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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