Provider Demographics
NPI:1790328532
Name:SAVED BY GRACE COMMUNITY
Entity type:Organization
Organization Name:SAVED BY GRACE COMMUNITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARINESCU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-668-8619
Mailing Address - Street 1:9002 N CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-2405
Mailing Address - Country:US
Mailing Address - Phone:440-668-8619
Mailing Address - Fax:
Practice Address - Street 1:9002 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-2405
Practice Address - Country:US
Practice Address - Phone:406-688-6194
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-24
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health