Organization · NPI-2

Amazing Grace Center INC

Clinic/Center, Methadone Clinic · Portsmouth, OH

NPI number1205188588
StatusActive
Last updated in NPPESOct 4, 2022

Details

NPI
1205188588
Entity type
Organization (NPI-2)
Legal business name
Amazing Grace Center INC
Organization subpart
No
Enumeration date
Oct 10, 2012
Certification date
Oct 4, 2022
Last updated
Oct 4, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM2800X Clinic/Center, Methadone Clinic––Yes
251S00000X Community/Behavioral Health13303OH

Practice location

802 Clare Ave
Portsmouth, OH 45662

Phone 740-876-8449

Mailing address

802 Clare Ave
Portsmouth, OH 45662

Phone 740-876-8449

Authorized official

Rose Onyinyechi Uradu
Medical Director
6063934632

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center, Methadone Clinic providers in Portsmouth, OH