Organization
AMAZING GRACE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE ONYINYECHI URADU MD (MEDICAL DIRECTOR)
(606) 393-4632
Entity
Organization
Contact information
Practice address
802 CLARE AVE, PORTSMOUTH, OH 45662
(740) 876-8449
Mailing address
802 CLARE AVE, PORTSMOUTH, OH 45662
(740) 876-8449
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
13303
OH
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
10/10/2012
Last updated
10/04/2022
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