NPI 1023556776
Grace Street Services, LLC
Practice location
- Address
- 69 Eagle Drive, Sanford, ME 04073
- Phone
- (207) 245-1800
- Mailing address
- 550 Lisbon St, Lewiston, ME 04240-6580
Authorised official
- Name
- Brandy Boyle
- Title
- Billing Contact
- Phone
- (207) 245-1800
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1023556776
- Entity type
- Organization
- NPI issued
- 2 Feb 2017
- Record last updated
- 2 Feb 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.