Grace Behavioral Support Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GRACE BEHAVIORAL SUPPORT SERVICES

Practice address

780 Fisherman St
Suite 250
Opa Locka, FL 33054-3806

Phone

(305) 681-2500

Fax

(305) 681-2525

NPI assigned

Oct 30, 2015

Organization subpart

No

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

Authorized official

Name

Alison A Hewitt

Title

Coo

Phone

(305) 681-2500

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1992177893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 FISHERMAN ST",
            "address_2": "SUITE 250",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330543806",
            "telephone_number": "305-681-2500",
            "fax_number": "305-681-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 FISHERMAN ST",
            "address_2": "SUITE 250",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330543806",
            "telephone_number": "305-681-2500",
            "fax_number": "305-681-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE BEHAVIORAL SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "HEWITT",
        "authorized_official_first_name": "ALISON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "305-681-2500"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ada A. Gonzalez, MS
• Katia Gonzalez
• Mariangel Gonzalez
• Yoanna Elena Gonzalez
• Stanley Kirk Gordon, DDS
• Grace Behavioral Support Services FL
• Grants Enterprises Inc
• Almenis C. Griffin, MSW
• Beatriz Amanda Guerrero Rivero
• Richard Gutierrez Torres

• Community/Behavioral Health Agency in Opa Locka, FL
• Providers in Opa Locka, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.