Organization
TRUE GRACE CLINIC LTD
Active
Organization
TRUE GRACE CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA KELLER (VP COMPLIANCE)
(320) 372-2323
Entity
Organization
Contact information
Practice address
1300 NORTHRIDGE CT NW STE 2, PINE CITY, MN 55063-5846
(320) 372-2312
Mailing address
501 MAIN ST, SANDSTONE, MN 55072-4410
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
02/21/2025
Last updated
01/04/2026
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