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Organization
GRACEPOINT MHC
Active
Organization
GRACEPOINT MHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH WATERS (CLINICAL CASE MANAGER)
(813) 239-8331
Entity
Organization
Contact information
Practice address
5707 N 22ND ST, TAMPA, FL 33610-4350
(813) 239-8331
Mailing address
5707 N 22ND ST, TAMPA, FL 33610-4350
(813) 239-8331
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
X.
FL
Other
Enumeration date
10/10/2013
Last updated
07/21/2022
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