STATE OF GRACE

NPI # 

Practice Address:

720 N Main St Ste 330

Pueblo, CO, 81003-3047

Practice Phone:

719-569-7909

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Mental Health (Including Community Mental Health Center)

Taxonomy Code:

261QM0801X

Updated by NPPES on 4/15/2021. You can view the original data set for NPI # 1457950958 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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STATE OF GRACE's

CMS CPT® coding data

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STATE OF GRACE's

CMS prescription data

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