| Abundant Grace Support Services Llc | |
|
102 Huff Dr Stafford VA 22554-3360 | |
| (540) 818-4825 | |
| Not Available |
| Full Name | Abundant Grace Support Services Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry |
| Location | 102 Huff Dr, Stafford, Virginia |
| Authorized Official Name and Position | Tetteh Nii Addy (ASSISTANT MANAGER) |
| Authorized Official Contact | 7572689992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundant Grace Support Services Llc 102 Huff Dr Stafford VA 22554-3360 Ph: (540) 818-4825 | Abundant Grace Support Services Llc 102 Huff Dr Stafford VA 22554-3360 Ph: (540) 818-4825 |
| NPI Number | 1316775380 |
|---|---|
| Provider Enumeration Date | 07/22/2024 |
| Last Update Date | 07/22/2024 |
| Certification Date | 07/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316775380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (* (Not Available)) | Primary |
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