NPI 1043057482

Amazing Grace Treatment Center, INC.

Organisation Mental Illness Community Based Residential Treatment Facility Dayton, OH

Practice location

Address: 17 Indiana Ave, Dayton, OH 45410-2307
Phone: (937) 640-3400

Authorised official

Name: Tyes'A Nelloms
Title: Program Manager
Phone: (937) 231-8773

Registered specialties (2)

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Ohio →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in Ohio →

Registry record

NPI: 1043057482
Entity type: Organization
NPI issued: 12 Jul 2024
Record last updated: 23 Mar 2026

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.