Organization
GRACE C MAE ADVOCATE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA CAROLYN GILBAUGH PHD (EXECUTIVE DIRECTOR)
(319) 361-6529
Entity
Organization
Contact information
Practice address
260 33RD AVE SW STE J, CEDAR RAPIDS, IA 52404-4646
(319) 361-6529
(319) 343-1059
Mailing address
260 33RD AVE SW STE J, CEDAR RAPIDS, IA 52404-4646
(319) 361-6529
(319) 343-1059
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600613389
—
IA
Enumeration date
08/13/2009
Last updated
12/01/2021
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