| Grace C Mae Advocate Center | |
|
260 33rd Ave Sw Ste J Cedar Rapids IA 52404-4646 | |
| (319) 361-6529 | |
| (319) 343-1059 |
| Full Name | Grace C Mae Advocate Center |
|---|---|
| Speciality | Counselor |
| Location | 260 33rd Ave Sw Ste J, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Patricia Carolyn Gilbaugh (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3193616529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace C Mae Advocate Center 260 33rd Ave Sw Ste J Cedar Rapids IA 52404-4646 Ph: (319) 361-6529 | Grace C Mae Advocate Center 260 33rd Ave Sw Ste J Cedar Rapids IA 52404-4646 Ph: (319) 361-6529 |
| NPI Number | 1851725592 |
|---|---|
| Provider Enumeration Date | 08/29/2013 |
| Last Update Date | 12/01/2021 |
| Certification Date | 12/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851725592 | NPI | - | NPPES |
| 0101342 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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