| NPI | 1811533433 |
|---|---|
| Other Name | GRACE HEALTH PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | CHAD STEVENS Authorized Official 606-526-9005 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2024-06-28 |