| NPI | 1265929020 |
|---|---|
| Doing Business As | GRACE CLINIC DELAWARE |
| Doing Business As | HARDIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | ERICA WOOD Executive Director 740-816-6955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-06-16 |