| NPI | 1699558577 |
|---|---|
| Doing Business As | GRACE CLINIC HEALTH PROFESSIONAL |
| Entity Type | Organization |
| Authorized Contact | MELVIN L BURKS President/CEO 812-231-8296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-08-23 |