| NPI | 1710623558 |
|---|---|
| Doing Business As | FAITH & GRACE THERAPEUTIC SERVICES |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE ROSS Owner 505-980-7219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2022-05-05 |