| Grace Therapeutic Services Llc | |
|
1111 Street Rd Ste 101 Southampton PA 18966-4250 | |
| (215) 740-9875 | |
| Not Available |
| Full Name | Grace Therapeutic Services Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1111 Street Rd Ste 101, Southampton, Pennsylvania |
| Authorized Official Name and Position | Joseph R Donnelly (CEO) |
| Authorized Official Contact | 2157409875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Therapeutic Services Llc 1922 Preston Ave Willow Grove PA 19090-3027 Ph: (215) 740-9875 | Grace Therapeutic Services Llc 1111 Street Rd Ste 101 Southampton PA 18966-4250 Ph: (215) 740-9875 |
| NPI Number | 1174088520 |
|---|---|
| Provider Enumeration Date | 02/08/2019 |
| Last Update Date | 02/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174088520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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