NPI | 1932759149 |
---|---|
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 | 2019-09-19 |
Last Update Date | 2022-09-06 |