Organization
GRACE OU MARRIAGE AND FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRACE OU MSMFT (THERAPIST)
(626) 268-0110
Entity
Organization
Contact information
Practice address
1140 OKOBOJI DR UNIT A, ARCADIA, CA 91007-8870
(626) 268-0110
Mailing address
1140 OKOBOJI DR UNIT A, ARCADIA, CA 91007-8870
(626) 268-0110
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265981740
NPI
CA
01
—
17202542574
NPI
CA
Enumeration date
01/25/2019
Last updated
04/26/2021
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