Amazing Grace Treatment Center Therapeutic Care, Llc.

Specialty details in registry · Dayton, OH

Call (937) 231-8773 Directions

At a glance

17 Indiana Ave, Dayton, OH 45410-2307

NPPES record updated Apr 6, 2026. Public records can lag behind changes at a practice.

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Practice location

17 Indiana Ave
Dayton, OH 45410-2307

Professional details: NPI, taxonomy & registry record

NPI1124960653

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 251B00000X
Enumeration date: Apr 6, 2026
Record updated: Apr 6, 2026

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251B00000X · Primary

Specialty details in registry

251S00000X

Specialty details in registry

261QM0855X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

17 Indiana Ave
Dayton, OH 45410-2307

Phone: (937) 231-8773

Mailing address

330 W 1ST ST APT 905

DAYTON, OH 454023055

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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