| Kids Of Grace, Inc. | |
|
5262 Inverness Ct Douglasville GA 30135-6748 | |
| (404) 604-4226 | |
| (888) 242-0387 |
| Full Name | Kids Of Grace, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5262 Inverness Ct, Douglasville, Georgia |
| Authorized Official Name and Position | Antoinette Gooden (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4046044226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Of Grace, Inc. Po Box 6777 Douglasville GA 30154-0030 Ph: (404) 604-4226 | Kids Of Grace, Inc. 5262 Inverness Ct Douglasville GA 30135-6748 Ph: (404) 604-4226 |
| NPI Number | 1245483973 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 10/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245483973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC005074 (Georgia) | Primary |
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