| NPI | 1386306876 |
|---|---|
| Former Legal Business Name | GRACE MENTAL HEALTH RESOURCES, INC |
| Entity Type | Organization |
| Authorized Contact | JULIE BERGMAN Owner 916-970-7323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2023-02-09 |