NPI | 1881217685 |
---|---|
Former Legal Business Name | GRACE MEDICAL CARE |
Entity Type | Organization |
Authorized Contact | ADEWALE ADEFOWOJU Medical Director 908-693-5036 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-05-27 |
Last Update Date | 2024-09-10 |