Organization
GRACE C MAE ADVOCATE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA CAROLYN GILBAUGH PH.D. (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
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101342
—
IA
Enumeration date
08/29/2013
Last updated
12/01/2021
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