NPI | 1588497804 |
---|---|
Doing Business As | GRACE EMOTIONAL WELLNESS LLC |
Entity Type | Organization |
Authorized Contact | DANIELLE NICHOLLE WARD Ra 813-755-1818 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-08-22 |
Last Update Date | 2024-08-22 |