NPI | 1346224011 |
---|---|
Doing Business As | GRACEPOINT |
Entity Type | Organization |
Authorized Contact | ROAYA TYSON CEO Effective 9/1/2022 813-239-8069 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 251B00000X Case Management |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2005-12-06 |
Last Update Date | 2024-07-01 |