Organization · Type 2 NPI

Grace Medical Care

Mental Health Clinic/Center (Including Community Mental Health Center) · Hoboken, NJ

NPI number 1881217685 Active

Practice location

422 Grand St # 9-10
Hoboken, NJ 07030-2727

Call (908) 693-5036 Map

Fax (862) 849-2319

Mailing address

1379 Brookfall Ave
Union, NJ 07083-7013

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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NPI record

NPI: 1881217685
Entity type: Organization (Type 2)
Issued: May 27, 2020
Last updated: Sep 10, 2024
Status: Active

Other names

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Grace Medical Care · former legal business name
Grace Medical Care · former legal business name

Authorized official

Dr. Adewale Adefowoju, DNP, APN, PMHNP-BC
Medical Director
(908) 693-5036

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1881217685

Grace Medical Care's National Provider Identifier is 1881217685, issued on May 27, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Hoboken, NJ. The record was last updated on Sep 10, 2024.