Loving Grace Pch
NPI #1972774842 in Augusta, Georgia
Provider Information
- NPI Number
- 1972774842
- Entity Type
- Organization
- Organization Name
- Loving Grace Pch
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Mar 18, 2008
- Last Updated
- Mar 18, 2008
Practice Location
Authorized Official
- Name
- MR. TONDA BOOKER
- Title
- OWNER
- Phone
- (706) 831-4472
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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