Throne of Grace, Llc.
NPI #1063820629 in Pocatello, Idaho
Provider Information
- NPI Number
- 1063820629
- Entity Type
- Organization
- Organization Name
- Throne of Grace, Llc.
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Jul 28, 2014
- Last Updated
- Jul 28, 2014
Practice Location
Authorized Official
- Name
- MR. DAVID PINEGAR
- Title
- EXECUTIVE DIRECTOR
- Phone
- (208) 522-6155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Mental Health — Mental Health |
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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