State of Grace
State of Grace is a Mental Health Clinic/Center (Including Community Mental Health Center) in Pueblo, Colorado. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
720 N Main St Ste 330Pueblo, CO 81003-3047
Phone: (719) 569-7909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|
Record details
| NPI number | 1457950958 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Maes — Clinical Director · (719) 569-7909 |
| NPI enumerated | October 26, 2020 |
| Last updated in NPPES | April 15, 2021 |
| Certification date | April 15, 2021 |
| Mailing address | 720 N Main St Ste 330, Pueblo, CO 81003-3047 |
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