Organization
FAITH & GRACE THERAPEUTIC SERVICES AND CONSULTATION
Active
Other names
Faith & Grace Therapeutic Services
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE ROSS PH.D. (OWNER)
(505) 980-7219
Entity
Organization
Contact information
Practice address
4110 WOLCOTT AVE NE STE B, ALBUQUERQUE, NM 87109-4598
(505) 331-3644
Mailing address
8100 WYOMING BLVD NE STE M4-363, ALBUQUERQUE, NM 87113-1946
(505) 331-3644
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26303256
—
NM
Enumeration date
05/05/2022
Last updated
05/05/2022
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