SOBER BY GRACE, INC.


Address: 2451 Bomar Ave, Fort Worth, TX 76103-2211
Phone: 8173867584

SOBER BY GRACE, INC. (NPI# 1033453170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033453170
Entity Type Organization
Organization Name SOBER BY GRACE, INC.
Practice Address 2451 Bomar Ave
Fort Worth
TX 76103-2211
Mailing Address 1056 Sagewood Ln
Saginaw
TX 76131-4805
Practice Telephone 8173867584
Mailing Telephone 8176069580
Mailing Fax Number 8178871347
Enumeration Date 2012-11-15
Last Update Date 2012-11-15
Authorized Official Name MR. BRYCE E HUDNALL (DIRECTOR)
Authorized Official Telephone 8176069580
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 324500000X Substance Abuse Rehabilitation Facility 67601 TX Residential Treatment Facilities
Y 251S00000X Community/Behavioral Health 67601 TX Agencies

Office Location

Street Address 2451 BOMAR AVE
City FORT WORTH
State TX
Zip Code 76103-2211

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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Competitor

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City FORT WORTH
Zip Code 76103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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