NPI | 1902853401 |
---|---|
Doing Business As | GRACE CLINIC FOR WOMEN |
Entity Type | Organization |
Authorized Contact | GUY MICHAEL HENRY Owner 501-225-9905 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: AR R-3877) |
Enumeration Date | 2006-05-28 |
Last Update Date | 2008-06-24 |