Organization
GRACE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER SURVANT APRN (OWNER)
(270) 240-2320
Entity
Organization
Contact information
Practice address
100 W 3RD ST STE 305, OWENSBORO, KY 42303-4129
(270) 240-2320
(270) 228-0573
Mailing address
100 W 3RD ST STE 305, OWENSBORO, KY 42303-4129
(270) 240-2320
(270) 228-0573
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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