Organization
GRACE INTEGRATED SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA MEDINA LCSW (CLIN ICAL DIRECTOR)
(505) 944-6991
Entity
Organization
Contact information
Practice address
4604 SNAPDRAGON RD NW, ALBUQUERQUE, NM 87120-2752
(505) 944-6991
Mailing address
4604 SNAPDRAGON RD NW, ALBUQUERQUE, NM 87120-2752
(505) 944-6991
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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