| Grace Recovery Center | |
|
40 Galesi Dr Ste 26 Wayne NJ 07470-4841 | |
| (973) 769-3699 | |
| Not Available |
| Full Name | Grace Recovery Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 40 Galesi Dr Ste 26, Wayne, New Jersey |
| Authorized Official Name and Position | Lashone Arnett (OWNER) |
| Authorized Official Contact | 9737693699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Recovery Center 52 Elberon Ave Paterson NJ 07502-2025 Ph: (973) 769-3699 | Grace Recovery Center 40 Galesi Dr Ste 26 Wayne NJ 07470-4841 Ph: (973) 769-3699 |
| NPI Number | 1477025534 |
|---|---|
| Provider Enumeration Date | 12/28/2018 |
| Last Update Date | 03/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477025534 | NPI | - | NPPES |
| 1407204415 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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