Amazing Grace Health LLC
Organization Active NPI Substance Abuse Rehabilitation Facility · Goodyear, AZ
NPI 1457023723 · NPPES record last updated Oct 4, 2021
Key facts
- NPI
- 1457023723
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- AMAZING GRACE HEALTH LLC
- Practice address
- 17156 W Tonto St
Goodyear, AZ 85338-1295 - Phone
- (623) 206-2311
- NPI assigned
- Oct 4, 2021
- Organization subpart
- No
Authorized official
- Name
- Leonard Iwuala
- Title
- Ceo
- Phone
- (623) 206-2311
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
17156 W Tonto St
Goodyear, AZ 85338-1295
Mailing address
17156 W Tonto St
Goodyear, AZ 85338-1295
Phone (623) 206-2311
Other names
- Amazing Grace Health
Other providers in Goodyear, AZ
- Rosanna Alvarez
- Kimberly Alvidrez
- Stephanie G Amado
- Tammy Amavisca
- Amazing Care Assisted Living, LLC
- AMC Group LLC
- American Current Care of Arizona PA
- American Dream Healthcare LLC
- Vibhatsu Jignesh Amin
- Amira Care LLC
All providers in Goodyear, AZ · Substance Abuse Rehabilitation Facility in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.