| Grace Family And Community Counseling Services Llc | |
|
16 Berkeley St Maplewood NJ 07040-3317 | |
| (908) 590-5810 | |
| Not Available |
| Full Name | Grace Family And Community Counseling Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 16 Berkeley St, Maplewood, New Jersey |
| Authorized Official Name and Position | Patrice M Nelson (MEMBER) |
| Authorized Official Contact | 9085905810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Family And Community Counseling Services Llc 16 Berkeley St Maplewood NJ 07040-3317 Ph: (908) 590-5810 | Grace Family And Community Counseling Services Llc 16 Berkeley St Maplewood NJ 07040-3317 Ph: (908) 590-5810 |
| NPI Number | 1104606268 |
|---|---|
| Provider Enumeration Date | 10/04/2023 |
| Last Update Date | 10/04/2023 |
| Certification Date | 05/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104606268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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