Whalio Doctors

NPI 1659862258

Amazing Grace Recovery

Organisation Case Management Agency Lauderdale Lakes, FL

Practice location

Address
3678 W Oakland Park Blvd, Lauderdale Lakes, FL 33311-1148
Phone
(954) 709-1210
Mailing address
2953 NW 192nd Ter, Miami Gardens, FL 33056-2477

Authorised official

Name
Alexis Chanel Walker
Title
Owner/Directer
Phone
(954) 709-1210

Registered specialties (2)

Case Management Agency Primary
Agencies Taxonomy 251B00000X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X

Registry record

NPI
1659862258
Entity type
Organization
NPI issued
21 May 2018
Record last updated
21 May 2018

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.