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Grace Gardens, Llc
Adolescent and Children Mental Health Clinic/Center in Cuba, Missouri
NPI 1689972879

Grace Gardens, Llc is an Adolescent and Children Mental Health Clinic/Center based in Bourbon, MO and is specialized in Adolescent and Children Mental Health. Grace Gardens, Llc practices in Cuba, MO. The NPI Number for Grace Gardens, Llc is 1689972879 and holds a License No. 2005031753 (Missouri).

The current practice location address for Grace Gardens, Llc is 412 N Franklin St, Cuba, MO and can be reached out via phone at 314-650-3281 and via fax at 573-885-1600.

Location: 412 N Franklin St, Cuba, MO, 65441-7118
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689972879
Provider Name
Grace Gardens, Llc
Credential
Provider Entity Type
Organization
Address
412 N Franklin St, Cuba, MO, 65441-7118
Phone Number
314-650-3281
Fax Number
573-885-1600
Provider Enumeration Date
03/11/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1891830477 01 MO INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
412 N Franklin St
City
Cuba
State
Missouri
Zip
65453-1719
Phone Number
314-650-3281
Fax Number
573-885-1600
person
Provider Business Mailing Address Details
Address
412 N Franklin St
City
Cuba
State
Missouri
Zip
65453-1719
Phone Number
314-650-3281
Fax Number
573-885-1600
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
2005031753 (Missouri)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
2005031753 (Missouri)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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