| Gracepoint Management, Inc. | |
|
5707 N 22nd St Tampa FL 33610-4350 | |
| (813) 239-8447 | |
| (813) 239-8513 |
| Full Name | Gracepoint Management, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5707 N 22nd St, Tampa, Florida |
| Authorized Official Name and Position | Teresa Masse (CREDENTIALING/HR) |
| Authorized Official Contact | 8132398447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gracepoint Management, Inc. 5707 N 22nd St Tampa FL 33610-4350 Ph: (813) 239-8447 | Gracepoint Management, Inc. 5707 N 22nd St Tampa FL 33610-4350 Ph: (813) 239-8447 |
| NPI Number | 1215367263 |
|---|---|
| Provider Enumeration Date | 11/12/2013 |
| Last Update Date | 12/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215367263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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