GRACEWAY PSYCHOLOGY GROUP, LLC

CHAMPAIGN, IL
NPI1275900896
Entity TypeOrganization
Authorized ContactWEIMIN GRACE BLOCHER
Owner
217-621-6180
Organization Subpart ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
Enumeration Date2015-08-31
Last Update Date2018-08-17
Business Address
GRACEWAY PSYCHOLOGY GROUP, LLC
201 W SPRINGFIELD AVE STE 211
CHAMPAIGN, IL 61820-4880
Phone number: 217-621-6180
Mailing Address
GRACEWAY PSYCHOLOGY GROUP, LLC
PO BOX 2257
CHESTERTON, IN 46304-0357
Phone number: 219-926-8320
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