| Grace C Mae Advocate Center | |
|
420 E Polk St Washington IA 52353-1237 | |
| (319) 653-3930 | |
| Not Available |
| Full Name | Grace C Mae Advocate Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 420 E Polk St, Washington, Iowa |
| Authorized Official Name and Position | Patricia C Gilbaugh (EXECUTIVE DIRECTOR/THERAPIST) |
| 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 Po Box 4 Van Horne IA 52346-0004 Ph: (319) 361-6529 | Grace C Mae Advocate Center 420 E Polk St Washington IA 52353-1237 Ph: (319) 653-3930 |
| NPI Number | 1265879431 |
|---|---|
| Provider Enumeration Date | 05/29/2013 |
| Last Update Date | 05/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265879431 | NPI | - | NPPES |
| 0101342 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 008087 (Iowa) | Primary |
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