Organization
GRACE SUCCESS ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA MARIA MEADOWS CERTIFIED TEACHER (DIRECTOR)
(786) 650-7603
Entity
Organization
Contact information
Practice address
420 NW 5TH AVE, FLORIDA CITY, FL 33034-3339
(786) 650-7603
Mailing address
420 NW 5TH AVE, FLORIDA CITY, FL 33034-3339
(786) 650-7603
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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