| Grace House Pa | |
|
1724 Village Way Suite A Orange Park FL 32073-5264 | |
| (904) 269-0886 | |
| (904) 269-0499 |
| Full Name | Grace House Pa |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1724 Village Way, Orange Park, Florida |
| Authorized Official Name and Position | Cathy Morey (DIRECTOR) |
| Authorized Official Contact | 9042690886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace House Pa 1724 Village Way Suite A Orange Park FL 32073-5264 Ph: (904) 269-0886 | Grace House Pa 1724 Village Way Suite A Orange Park FL 32073-5264 Ph: (904) 269-0886 |
| NPI Number | 1528201647 |
|---|---|
| Provider Enumeration Date | 04/20/2009 |
| Last Update Date | 04/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528201647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH7812 (Florida) | Primary |
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