Grace Recovery Centers LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

GRACE RECOVERY CENTERS LLC

Practice address

10116 Portland Ave E
Tacoma, WA 98445-3954

Phone

(928) 708-9615

NPI assigned

Nov 21, 2013

Last updated

Nov 21, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mathew Luchini

Title

Account Manager

Phone

(928) 533-4220

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1275963613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10116 PORTLAND AVE E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984453954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10116 PORTLAND AVE E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984453954",
            "telephone_number": "928-708-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE RECOVERY CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-21",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "LUCHINI",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "928-533-4220"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Anne Gowans
• Adarsh Gowda, MD
• Angela Victoria Gowdy, LMP
• Linda S Gowenlock, RN
• Olivia Grabocka, PHARMD
• Mary J Graddon, OTR/L
• Morgan Angeline Grade, CERTIFIED DOULA
• Allen Graeve, MD
• Ronald John Graf, M.D.
• Jason Robert Grafen

• Substance Use Disorder Rehabilitation Clinic/Center in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.