| Grace Success Academy | |
|
420 Nw 5th Ave Florida City FL 33034-3339 | |
| (786) 650-7603 | |
| Not Available |
| Full Name | Grace Success Academy |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 420 Nw 5th Ave, Florida City, Florida |
| Authorized Official Name and Position | Tina Maria Meadows (DIRECTOR) |
| Authorized Official Contact | 7866507603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Success Academy 420 Nw 5th Ave Florida City FL 33034-3339 Ph: (786) 650-7603 | Grace Success Academy 420 Nw 5th Ave Florida City FL 33034-3339 Ph: (786) 650-7603 |
| NPI Number | 1932780202 |
|---|---|
| Provider Enumeration Date | 04/19/2021 |
| Last Update Date | 04/19/2021 |
| Certification Date | 04/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932780202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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