Organization · NPI-2

Amazing Grace Behavioral Health Center LLC

Community/Behavioral Health · Portsmouth, OH

NPI number1629888441
StatusActive
Last updated in NPPESJan 13, 2025

Details

NPI
1629888441
Entity type
Organization (NPI-2)
Legal business name
Amazing Grace Behavioral Health Center LLC
Organization subpart
Yes
Enumeration date
Jan 13, 2025
Certification date
Jan 13, 2025
Last updated
Jan 13, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––

Practice location

802 Clare Ave
Portsmouth, OH 45662-2583

Phone 740-876-8449

Mailing address

802 Clare Ave
Portsmouth, OH 45662-2583

Phone 740-876-8449

Authorized official

Rose Onyinyechi Uradu
Medical Director
7408768449

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