NPI 1659862258
Amazing Grace Recovery
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
Community/Behavioral Health Agency
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.