NPI | 1922777218 |
---|---|
Doing Business As | GRACEPOINT |
Entity Type | Organization |
Authorized Contact | ROAYA TYSON CEO 813-239-8069 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2021-09-09 |
Last Update Date | 2022-09-08 |