Provider Demographics
NPI:1689485773
Name:GRACE WITH GRIT
Entity type:Organization
Organization Name:GRACE WITH GRIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUITVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-781-4094
Mailing Address - Street 1:111 TOWN SQUARE PL STE 1238
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07310-1810
Mailing Address - Country:US
Mailing Address - Phone:718-781-4094
Mailing Address - Fax:
Practice Address - Street 1:123 KARENLYNN DR
Practice Address - Street 2:
Practice Address - City:FRANKLINVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08322-3854
Practice Address - Country:US
Practice Address - Phone:917-803-7772
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services