Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amazing Grace Treatment Center Therapeutic Care, LLC

Organization Case Management Agency · NPI 1124960653

Amazing Grace Treatment Center Therapeutic Care, LLC is a Case Management Agency in Dayton, Ohio. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17 Indiana Ave
Dayton, OH 45410-2307
Phone: (937) 231-8773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1124960653
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tyes'A Nelloms — Program Manager · (937) 231-8773
NPI enumeratedApril 6, 2026
Last updated in NPPESApril 6, 2026
Certification dateMarch 31, 2026
Mailing address330 W 1st St Apt 905, Dayton, OH 45402-3055

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