| NPI | 1992914113 |
|---|---|
| Other Name | GRAHAM AT GRACEPOINT |
| Entity Type | Organization |
| Authorized Contact | JOSEPH F. RUTHERFORD CEO 813-239-8069 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2016-07-14 |