NPI | 1013336627 |
---|---|
Doing Business As | GRACE HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | GORDON E COBURN Owner 423-283-4958 |
Organization Subpart ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN 11054) |
Enumeration Date | 2014-04-10 |
Last Update Date | 2014-04-10 |