Organization · Type 2 NPI

Loving Grace PCH

Adult Mental Health Clinic/Center · Augusta, GA

NPI number 1972774842 Active

Practice location

1213 Wood Valley Rd
Augusta, GA 30909-2327

Fax (706) 738-9032

Mailing address

1236 12th St
Augusta, GA 30901-3238

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center Primary 261QM0850XNone listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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About NPI 1972774842

Loving Grace PCH's National Provider Identifier is 1972774842, issued on Mar 18, 2008. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Augusta, GA. The record was last updated on Mar 18, 2008.